Localized, transient elevations in cytosolic Ca 2+, known as Ca 2+ sparks, caused by Ca 2+ release from sarcoplasmic reticulum, are thought to trigger the opening of large conductance Ca 2+-activated potassium channels in the plasma membrane resulting in spontaneous transient outward currents (STOCs) in smooth muscle cells. But the precise relationships between Ca 2+ concentration within the sarcoplasmic reticulum and a Ca 2+ spark and that between a Ca 2+ spark and a STOC are not well defined or fully understood. To address these problems, we have employed two approaches using single patch-clamped smooth muscle cells freshly dissociated from toad stomach: a high speed, wide-field imaging system to simultaneously record Ca 2+ sparks and STOCs, and a method to simultaneously measure free global Ca 2+ concentration in the sarcoplasmic reticulum ([Ca 2+] SR) and in the cytosol ([Ca 2+] CYTO) along with STOCs. At a holding potential of 0 mV, cells displayed Ca 2+ sparks and STOCs. Ca 2+ sparks were associated with STOCs; the onset of the sparks coincided with the upstroke of STOCs, and both had approximately the same decay time. The mean increase in [Ca 2+] CYTO at the time and location of the spark peak was ∼100 nM above a resting concentration of ∼100 nM. The frequency and amplitude of spontaneous Ca 2+ sparks recorded at −80 mV were unchanged for a period of 10 min after removal of extracellular Ca 2+ (nominally Ca 2+-free solution with 50 μM EGTA), indicating that Ca 2+ influx is not necessary for Ca 2+sparks. A brief pulse of caffeine (20 mM) elicited a rapid decrease in [Ca 2+] SR in association with a surge in [Ca 2+] CYTO and a fusion of STOCs, followed by a fast restoration of [Ca 2+] CYTO and a gradual recovery of [Ca 2+] SR and STOCs. The return of global [Ca 2+] CYTO to rest was an order of magnitude faster than the refilling of the sarcoplasmic reticulum with Ca 2+. After the global [Ca 2+] CYTO was fully restored, recovery of STOC frequency and amplitude were correlated with the level of [Ca 2+] SR, even though the time for refilling varied greatly. STOC frequency did not recover substantially until the [Ca 2+] SR was restored to 60% or more of resting levels. At [Ca 2+] SR levels above 80% of rest, there was a steep relationship between [Ca 2+] SR and STOC frequency. In contrast, the relationship between [Ca 2+] SR and STOC amplitude was linear. The relationship between [Ca 2+] SR and the frequency and amplitude was the same for Ca 2+ sparks as it was for STOCs. The results of this study suggest that the regulation of [Ca 2+] SR might provide one mechanism whereby agents could govern Ca 2+ sparks and STOCs. The relationship between Ca 2+ sparks and STOCs also implies a close association between a sarcoplasmic reticulum Ca 2+ release site and the Ca 2+-activated potassium channels responsible for a STOC.