Massive main-sequence stars create a very hot core which fuses hydrogen very rapidly via the CNO process and results in strong convection throughout the whole star. This causes mixing of helium to the surface, a process that is enhanced by rotation, possibly by differential rotation where the core is spun up to a faster rotation than the surface. Such stars also show nitrogen enhancement at the surface at a very young age, caused by changes in the proportions of carbon and nitrogen due to the CNO cycle. The enhancement of heavy elements in the atmosphere, as well as increases in luminosity, create strong stellar winds which are the source of the emission line spectra. These stars develop an Of spectrum, Of* if they are sufficiently hot, which develops into a WNh spectrum as the stellar winds increase further. This explains the high mass and luminosity of the WNh stars, which are still burning hydrogen at the core and have lost little of their initial mass. These will eventually expand into blue supergiants (LBVs?) as hydrogen at the core becomes depleted, or if mixing is efficient enough (e.g. through rapid rotation) they may progress directly to WN stars without hydrogen.