Angiogenesis is a critical, fine-tuned, multi-staged biological process. Tip-stalk cell selection and shuffling are the building blocks of sprouting angiogenesis. Accumulated evidences show that tip-stalk cell selection and shuffling are regulated by a variety of physical, chemical and biological factors, especially the interaction among multiple genes, their products and environments. The classic Notch-VEGFR, Slit-Robo, ECM-binding integrin, semaphorin and CCN family play important roles in tipstalk cell selection and shuffling. In this review, we outline the progress and prospect in the mechanism and the roles of the various molecules and related signaling pathways in endothelial tip-stalk cell selection and shuffling. In the future, the regulators of tip-stalk cell selection and shuffling would be the potential markers and targets for angiogenesis. Keywords Angiogenesis. Endothelial cells. Tip-stalk cell selection. Tip-stalk shuffling. Signaling pathway Endothelial cells (ECs) remain quiescent in most healthy adults. Angiogenesis, the growth of new blood vessels occurs under many physiological conditions, such as embryo development, and pathological conditions, such as chronic inflammation, certain immune reactions and cancers (Potente et al. 2011). The growth of vascular system involves tip cell selection, sprout formation, tip cell migration, stalk cell proliferation, and ultimately vascular stabilization. The distal end of each sprout contains a specialized EC, termed tip cell. Tip cells are motile, invasive and highly polarized with a large * Xiaoling Zhang