The operating principles of bicycle drivetrains have remained largely static since the invention of the derailleur in 1905. A bicycle-specific Continuously Variable Transmission has the potential to eliminate many of these issues. This paper explores the current state of bicycle CVT technology, details the advantages and disadvantages of these designs, and analyzes the many human factors that play into their adoption. Finally, a conceptual design for a novel bicycle CVT is described, and a physical model is created to demonstrate the mechanical principles of operation.