Cephalanthus occidentalis is a species of flowering plant in the coffee family, Rubiaceae, that is native to eastern and southern North America. Common names include buttonbush, common buttonbush, button-willow and honey-bells. C. occidentalis is a deciduous shrub or small tree that averages 1–3 m (3.3–9.8 ft) in height, but can reach 6 m (20 ft). The leaves are opposite or in whorls of three, elliptic to ovate, 7–18 cm (2.8–7.1 in) long and 4–10 cm (1.6–3.9 in) broad, with a smooth edge and a short petiole. The flowers are arranged in a dense spherical inflorescence 2–3.5 cm (0.79–1.38 in) in diameter on a short peduncle. Each flower has a fused white to pale yellow four-lobed corolla forming a long slender tube connecting to the sepals. The stigma protrudes slightly from the corolla. The fruit is a spherical cluster of achenes (nutlets). There are two varieties, not considered distinct by all authorities: Buttonbush is a common shrub of many wetland habitats in its range, including swamps, floodplains, mangrove, pocosin, riparian zones, and moist forest understory. It is a member of the flora in the Everglades. Waterfowl and other birds eat the seeds. Wood ducks utilize the plant as nest protection. Deer browse the foliage. Insects and hummingbirds take the nectar, with bees using it to make honey. The species occurs in eastern North America with disjunct populations occurring in the west. In Canada, it occurs from southern Ontario and Quebec east to New Brunswick and south-western Nova Scotia. Besides the eastern United States, and eastern regions of the Midwest, notable areas range into Arizona, the Mogollon Rim, and other mountain ranges; in California, the entire San Joaquin Valley West of the Great Plains and the Rocky Mountains, only western Texas, Arizona, and California find C. occidentalis. C. occidentalis has a number of historical medicinal uses, but it is also toxic due to the presence of cephalathin. Buttonbush is cultivated as an ornamental plant for a nectar source or 'honey plant' and for aesthetics in gardens and native plant landscapes, and is planted on slopes to help control erosion. Buttonbush is a suitable shrub for butterfly gardens.