In South African gold mines, the types of material requiring transportation to the stoping areas include timber packs, explosives, hydraulic rock props, scrapers, scraper winches, pipes, pumps and backfill material (in areas where backfill is being used). Currently timber packs are broken down to their basic components (log and brick) and are transported into the stope by means of either monowinches or a combination of monowinch and scraper winch. Other materials, such as explosives, hydraulic rock props, scrapers, scraper winches, pipes, pumps and backfill material must be transported by other means, usually by hand or, in the case of heavier items, by chain blocks. With the drive to increase stope advance rates and the rise in the number of miners with HIV/AIDS, there is a need in the South African gold mining industry for an improved material handling system. To meet future requirements, material handling systems should assist miners to transport materials quickly and efficiently. Furthermore, it must be financially viable and economically competitive with current material handling systems. This paper looks at the in-stope material handling efficiency of current monowinch systems and provides solutions to improve efficiency. In addition, the use of in-stope monorails are reviewed and the possible scenarios that will substantiate the use of monorail systems are discussed.