The majority of Class D amps use a Switched Mode Power Supply (SMPS) design. SMPS are also sometimes used with amps in other classes of operation like Class A/B. SMPS designs do not require large transformers as conventional linear PS designs do, since they run much more efficiently. Class D output stages (independent of whether they use an SMPS or linear PS) are also very efficient, so they do not require large heat sinks that other designs do. Class A biased output stages are the most inefficient and therefore require an extremely large amount of heat sink area.