Cell-cell interfaces are found throughout multicellular organisms, from transient interactions between motile immune cells to long-lived cell-cell contacts in epithelia. In this review, we summarize recent findings that support the emerging view of cell-cell interfaces as specialized compartments that biophysically constrain the arrangement and activity of their protein, lipid, and glycan components. Studies of immune cell interactions, epithelial cell barriers, neuronal contacts, and sites of cell-cell fusion have identified a core set of features shared by cell-cell interfaces that critically control their function. Data from diverse cell types show that cells actively and passively regulate the localization, strength, duration, and cytoskeletal coupling of receptor interactions governing cell-cell signaling and physical connections between cells. We review how these biophysical features of cell-cell interfaces, which drive unique membrane organization from local molecular and cellular mechanics, allow cells to respond selectivity and sensitivity to multiple inputs, serving as the basis for wide-ranging cellular function and as opportunities for therapeutic intervention.