Steroid hormones, bioactive oxysterols and bile acids are all derived from the biological metabolism of lipid cholesterol. The enzymatic pathways generating these compounds have been an area of intense research for almost a century, as cholesterol and its metabolites have substantial impacts on human health. Owing to its high degree of hydrophobicity and the chemical properties that it confers to biological membranes, the distribution of cholesterol in cells is tightly controlled, with subcellular organelles exhibiting highly divergent levels of cholesterol. The manners in which cells maintain such sterol distributions are of great interest in the study of steroid and bile acid synthesis, as limiting cholesterol substrate to the enzymatic pathways is the principal mechanism by which production of steroids and bile acids is regulated. The mechanisms by which cholesterol moves within cells, however, remain poorly understood. In this review, we examine the subcellular machinery involved in cholesterol metabolism to steroid hormones and bile acid, relating it to both lipid-and protein-based mechanisms facilitating intracellular and intraorganellar cholesterol movement and delivery to these pathways. In The lipid cholesterol has generated some of the greatest research interest regarding the chemicals that make up life. Providing profoundly critical physical properties as a component of the membranes that separate the biotic from the abiotic, cholesterol exerts significant physiological effects in its own right. Moreover, cholesterol is enzymatically metabolized in cells to structurally diverse families of steroids, oxysterols and bile acids, each of which have specific and highly potent signaling capabilities. Our understanding of the ways through which cells handle cholesterol and respond to cholesterol metabolite signaling has expanded enormously over the past half century. However, the manner in which cells synthesize steroids and other cholesterol metabolites, despite the progress made, has yet to fully integrate the advances of cholesterol biophysics and cellular biology into its theoretical framework. These issues have captured the interest of researchers in the field (1), and in this review, we look to extend on this www.traffic.dk 895