This Opinion assesses the biological relevance of the non‐monotonic dose responses (
NMDR
) identified in a previous
EFSA
External Report (Beausoleil et al., 2016) produced under
GP
/
EFSA
/
SCER
/2014/01 and the follow‐up probabilistic assessment (Chevillotte et al., 2017a,b), focusing on the
in vivo
data sets fulfilling most of the checkpoints of the visual/statistical‐based analysis identified in Beausoleil et al. (2016). The evaluation was completed with cases discussed in
EFSA
assessments and the update of the scientific literature. Observations of
NMDR
were confirmed in certain studies and are particularly relevant for receptor‐mediated effects. Based on the results of the evaluation, the Opinion proposes an approach to be applied during the risk assessment process when apparent non‐monotonicity is observed, also providing advice on specific elements to be considered to facilitate the assessment of
NMDR
in
EFSA
risk assessments. The proposed approach was applied to two case studies, Bisphenol A and bis(2‐ethylhexyl phthalate (
DEHP
) and these evaluations are reported in dedicated annexes. Considering the potential impact of
NMDR
s in regulatory risk assessment, the Scientific Committee recommends a concerted international effort on developing internationally agreed guidance and harmonised frameworks for identifying and addressing
NMDR
s in the risk assessment process.