Precision delta-sigma converters (i.e those that achieve 16+ bits resolutions over more than 10x the audio bandwidth) have typically been realized using discrete-time circuitry. This talk motivates the use of continuous-time delta-sigma modulation in such applications. Power-efficient, high-resolution continuous-time delta-sigma modulators need to consider several effects (some second-order, and others not-so-second-order) that might seem harmless in converters that attempt a more modest in-band noise spectral density. Examples of such effects include flicker noise, layout-routing resistance and DAC inter-symbol-interference. This talk aims to give insights into these effects and describe techniques that address the formidable challenge of designing such converters. A practical design example will be used to place things in perspective. It will also demonstrate that these techniques can be readily applied to higher speed designs.