One of the most challenging problems of contemporary theoretical physics is the mathematically rigorous construction of a theory which describes gravitation and the other fundamental physical interactions within a common framework. The physical ideas which grew from attempts to develop such a theory require highly advanced mathematical methods and radically new physical concepts.  This book presents different approaches to a rigorous unified description of quantum fields and gravity. It contains a carefully selected cross-section of lively discussions which took place in autumn 2010 at the fifth conference "Quantum field theory and gravity - Conceptual and mathematical advances in the search for a unified framework" in Regensburg, Germany. In the tradition of the other proceedings covering this series of conferences, a special feature of this book is the exposition of a wide variety of approaches, with the intention to facilitate a comparison.  The book is mainly addressed to mathematicians and physicists who are interested in fundamental questions of mathematical physics. It allows the reader to obtain a broad and up-to-date overview of a fascinating active research area.