Since the Voyager mission flybys in 1979, we have known the moon Io to be both volcanically active and the main source of plasma in the vast magnetosphere of Jupiter. Material lost from Io forms neutral clouds, the Io plasma torus and ultimately the extended plasma sheet. This material is supplied from Io's upper atmosphere and atmospheric loss is likely driven by plasma-interaction effects with possible contributions from thermal escape and photochemistry-driven escape. Direct volcanic escape is negligible. The supply of material to maintain the plasma torus has been estimated from various methods at roughly one ton per second. Most of the time the magnetospheric plasma environment of Io is stable on timescales from days to months. Similarly, Io's atmosphere was found to have a stable average density on the dayside, although it exhibits lateral and temporal variations. There is potential positive feedback in the Io torus supply: collisions of torus plasma with atmospheric neutrals are probably a significant loss process, which increases with torus density. The stability of the torus environment may be maintained by limiting mechanisms of either torus supply from Io or the loss from the torus by centrifugal interchange in the middle magnetosphere. Various observations suggest that occasionally the plasma torus undergoes major transient changes over a period of several weeks, apparently overcoming possible stabilizing mechanisms. Such events are commonly explained by some kind of change in volcanic activity that triggers a chain of reactions which modify the plasma torus state via a net change in supply of new mass. However, it remains unknown what kind of volcanic event (if any) can trigger events in torus and magnetosphere, whether Io's atmosphere undergoes a general change before or during such events, and what processes could enable such a change in the otherwise stable torus.