I will review what we know about Type I Bursts (thermonuclear explosions on the surface of accreting Neutron Stars) and burst oscillations (fluctuations in the intensity of the burst lightcurves). I will describe the known problems in burst oscillation models and the various solutions that have been proposed. I will report recent progress made in the case of the pulsar IGR J17480-2446 in the Globular Cluster Terzan 5, where we were able to pin point the most likely mechanism responsible for the oscillations. I will explain whether this might be applicable to the other bursters and discuss future perspectives including current efforts to develop magneto-hydrodynamical simulations of the bursting process.