The document summarizes negative bias temperature instability (NBTI) in PMOS transistors. NBTI causes an increase in threshold voltage over time when exposed to negative gate stress and elevated temperatures. It is caused by the breaking of silicon-hydrogen bonds at the silicon-oxide interface, leaving behind interface traps. The reaction-diffusion model is used to explain the physics of NBTI degradation. Simulation results using a 45nm technology show up to 9% increase in threshold voltage over 2 years for a buffer circuit. Higher operating temperatures exacerbate the degradation, with up to 11% output degradation observed at 125°C compared to 5% at 27°C. Lower operating temperatures and reducing stress conditions are important for improving device reliability in future technologies