The interannual variability of Indian summer monsoon is probably one of the most intensively studied phenomena in the research area of climate variability. This is because even relatively small variations of about 10% to 20% from the mean rainfall may have dramatic consequences for regional agricultural production. Forecasting such variations months in advance could help agricultural planning substantially. Unfortunately, a perfect forecast of Indian monsoon variations, like any other regional climate variations, is impossible in a long-term prediction (that is, more than 2 weeks or so in advance). The reason is that part of the atmospheric variations influencing the monsoon have an inherent predictability limit of about 2 weeks. Therefore, such predictions will always be probabilistic, and only likelihoods of droughts, excessive rains, or normal conditions may be provided. However, even such probabilistic information may still be useful for agricultural planning. In research regarding interannual Indian monsoon rainfall variations, the main focus is therefore to identify the remaining predictable component and to estimate what fraction of the total variation this component accounts for. It turns out that slowly varying (with respect to atmospheric intrinsic variability) sea-surface temperatures (SSTs) provide the dominant part of the predictable component of Indian monsoon variability. Of the predictable part arising from SSTs, it is the El Niño Southern Oscillation (ENSO) that provides the main part. This is not to say that other forcings may be neglected. Other forcings that have been identified are, for example, SST patterns in the Indian Ocean, Atlantic Ocean, and parts of the Pacific Ocean different from the traditional ENSO region, and springtime snow depth in the Himalayas, as well as aerosols. These other forcings may interact constructively or destructively with the ENSO impact and thus enhance or reduce the ENSO-induced predictable signal. This may result in decade-long changes in the connection between ENSO and the Indian monsoon. The physical mechanism for the connection between ENSO and the Indian monsoon may be understood as large-scale adjustment of atmospheric heatings and circulations to the ENSO-induced SST variations. These adjustments modify the Walker circulation and connect the rising/sinking motion in the central-eastern Pacific during a warm/cold ENSO event with sinking/rising motion in the Indian region, leading to reduced/increased rainfall.