This chapter provides an overview of recent data pertaining to the first settled villages in the Belize River valley. The authors highlight the known Preceramic data from the region and suggest that sedentary villages appear at the beginning of the Preclassic, possibly as early as 1200 B.C. The Cunil phase pottery, first documented at the ancient site of Cahal Pech, represents the earliest ceramics found in the Maya lowlands. Long distance trade items such as obsidian, marine shell, and greenstone are associated with Cunil phase pottery, suggesting that these early villages were participating in a larger interaction sphere. As population grew over time in the Middle Preclassic period, interaction with neighboring regions increased leading to a more uniform ceramic tradition.