Risks related to food production and consumption are not a recent phenomenon. Through agricultural practices, the transport of agricultural and food products, the processing of food, its storage, and finally the consumption of food, risks have been externalized, mediated, contested and ingested. But agrofood systems have also been paralleled by routinized practices and institutions that attempt to reduce risks and sustain trust among the many actors involved in these food regimes. However, both the (definition of) food risks and the institutions and discourses used to dispel anxiety and build trust are far from stable throughout time. In the contemporary modern world-order, food risks and the practices and institutions dealing with these risks reflect the significant transformations in the agrofood system, the changing nature of the risks involved in food production and consumption, and the modifications in scientific risk assessment and risk management. This article provides an overview of the current debates, discussions and practices on actual and potential institutional transformations that parallel the emergence, assessment and management of food risks in reflexive modernity.