In this work, we demonstrate a modality of photodynamic therapy (PDT) through the design of our truly dual-functional-PDT and imaging-gadolinium complex (Gd-N), which can target cancer cells specifically. In the light of our design, the PDT drug can specifically localize on the anionic cell membrane of cancer cells in which its laser-excited photoemission signal can be monitored without triggering the phototoxic generation of reactive oxygen species-singlet oxygen-before due excitation. Comprehensive in vitro and in vivo studies had been conducted for the substantiation of the effectiveness of Gd-N as such a tumor-selective PDT photosensitizer. This treatment modality does initiate a new direction in the development of "precision medicine" in line with stem cell and gene therapies as tools in cancer therapy.ignificant challenges of tumor cells recognition, in-depth light penetration, and in situ monitoring are confronted by scientists to develop photodynamic therapy (PDT) as a reliable clinical treatment for cancers (1, 2). To address the penetration depth and molecular imaging issues, the utilization of nearinfrared (NIR) excitation (via multiphoton/up-conversion processes) and emission within the "biological windows" (such as first window: 600-950 nm; second window: 1-1.35 μm; and third window: 1.5-1.8 μm) (3) has provided a satisfying resolution because NIR photons can penetrate deep into the tissue and reemit sharply without being absorbed by the cell even in the blood media and causing damage. Clear images can be obtained and differentiated then from the usual biological autofluorescence background (4). Recently, two-photon absorption photodynamic therapy (TPA-PDT) has received increasing attention (5). Porphyrin-based photosensitizers are considered as the prime candidates as their two-photon (TP)-induced singlet oxygen ( 1 O 2 ) generation and red/NIR emission (∼650 and ∼750 nm) are very efficient and intense. Several design strategies for TPA-PDT photosensitizers have been reported in the literature, but only very few of those compounds are tumor cell-specific or have been investigated in vitro and in vivo, concerning especially porphyrins and lanthanides (6). For instance, selective closure of blood vessels through two-photon excitation PDT in vivo using porphyrin dimers of large TP absorption cross-section has been demonstrated currently (7); tumor selectivity of amphiphilic photosensitizers has also been found related to their efficient binding to low-density lipoproteins, which are responsible for the transport of porphyrins to tumor tissues (8, 9). High-molecular-weight porphyrins, in essence, preferentially accumulate on solid tumors and are expected to be internalized into membrane-limited organelles, thereby achieving controlled localization in the intercellular compartment (10). However, it has still been arduous for PDT probes to come into contact with cancer cells in particular, with two major problems being associated with commercially available or literature-reporting photosensitizers for ph...