A gear stick (rarely spelled gearstick), gear lever (both UK English), gearshift or shifter (both US English), more formally known as a transmission lever, is a metal lever attached to the transmission of an automobile. The term gear stick mostly refers to the shift lever of a manual transmission, while in an automatic transmission, a similar lever is known as a gear selector. A gear stick will normally be used to change gear whilst depressing the clutch pedal with the left foot to disengage the engine from the drivetrain and wheels. Automatic transmission vehicles, including hydraulic (torque converter) automatic transmissions, automated manual and older semi-automatic transmissions (specifically clutchless manuals), like VW Autostick, and those with continuously variable transmissions, do not require a physical clutch pedal.

Gear sticks are most commonly found between the front seats of the vehicle, either on the center console (sometimes even quite far up on the dashboard), the transmission tunnel (erroneously called a console shifter when the floor shifter mechanism is bolted to the transmission tunnel with the center console to cover up the shifter assembly when used with a rear or front-wheel drive vehicle), or directly on the floor. Some vehicles have a column shift where the lever is mounted on the steering column – in vehicles with a manual four-speed gearbox such as 1950s Mercedes-Benz cars and all two-stroke Trabants, this is actually a manual gear lever connected to the gearbox with a linkage. In automatic transmission cars, the lever functions more like a gear selector, and, in modern cars, does not necessarily need to have a shifting linkage due to its shift-by-wire principle. It has the added benefit of allowing for a full-width bench-type front seat (though some models with bucket seating as an option include it). It has since fallen out of favor, although it can still be found widely on North American-market pick-up trucks, vans, emergency vehicles (both law enforcement and EMS – the column shifter is retained where a floor shifter is unfeasible due to mounting the mobile data terminal and 2-way radio), and "full-size" US sedans such as the Ford Crown Victoria. A dashboard mounted shift was common on certain French models such as the Citroën 2CV and Renault 4. Both the Bentley Mark VI and the Riley Pathfinder had their gear lever to the right of the right-hand drive driver's seat, alongside the driver's door, where it was not unknown for British cars to also have their handbrake. (Left-hand drive models received a column shift.)

In some modern sports cars, the gear lever has been replaced entirely by "paddles", which are a pair of levers, usually operating electrical switches (rather than a mechanical connection to the gearbox), mounted on either side of the steering column, where one increments the gears up, and the other down. Formula 1 cars used to hide the gear stick behind the steering wheel within the nose bodywork before the modern practice of mounting the "paddles" on the (removable) steering wheel itself.

A knob, variously called gear knob, shift knob, gear shift knob or stick shift knob, forms the handle for the gear stick. Gear knobs are commonly made from materials such as aluminum, plastic, leather, wood, or carbon fiber, depending on the vehicle type and desired aesthetics. Typically the gear knob includes a diagram of the shift pattern of the gear selection system, i.e. the positions to which the gear stick should be moved when selecting a gear. In some older manual transmission vehicles, the knob may incorporate a switch to engage an overdrive; in some automatic transmission vehicles it may incorporate a switch to engage a special mode such as a sports mode or to disengage overdrive. Both of the above-mentioned switches may also be found on the console or on steering column stalks instead. Manual shifters on the steering column, if having only three forward speeds, are typically called a three on the tree, and floor shifters having four forward speeds, are called four-on-the-floor. The lowest of these gears, if set at a much lower ratio than a typical 1st-gear ratio, is often called a granny gear.

Starting the car in gear with the clutch engaged causes it to lurch forwards or backward since the starter motor by itself produces sufficient torque to move the whole vehicle; this can be highly dangerous, especially if the parking brake is not firmly applied and can be injurious to the starter and drivetrain. Therefore, novice drivers are taught to rock the knob of a manual gearbox from side to side before starting the engine to confirm that the gearbox is in neutral. For the same reason, modern cars require the clutch pedal to be depressed before the starter will engage (though some modern vehicles have a button that disables the clutch start requirement if held down when starting, for rare situations when starting the car in gear is necessary). The latter practice is also useful in extremely cold conditions or with a weak battery, as it avoids the starter motor also having to turn over a gearbox full of cold and highly viscous oil.

Many automatic transmission vehicles have extra controls on the gear stick, or very close by, which modify the choices made by the transmission system depending on engine and road speed, e.g. "sports" or "economy" modes which will broadly speaking allow, respectively, for higher and lower revolutions per minute, before shifting up.

Some specialist vehicles have controls for other functions on the gear stick. The Land Rover Freelander introduced a button for that company's Hill Descent Control system feature, which uses the brakes to simulate the function of a low-ratio gearbox in steep descents.

Traditional four-wheel drive vehicles have one or more additional "shift levers" to engage a low-ratio gearbox (used on tough terrain), a transfer case (which switches between two- and four-wheel drive), or differential locks. Some more modern traditional vehicles combine the low-ratio gearbox and transfer case into one lever, with 3 positions: 2H (for 2-wheel drive in the standard high-ratio gearbox); 4H (for 4-wheel drive in the standard high-ratio gearbox); and 4L (for 4-wheel drive in the low-ratio gearbox).