Calcium is required for the functioning of numerous biological processes and is essential for skeletal health. The major source of new calcium is from the diet. The central role of vitamin D in the maintenance of calcium homeostasis is to increase the absorption of ingested calcium from the intestine. The critical importance of vitamin D in this process is noted in the causal link between vitamin D deficiency and rickets as well as in studies using genetically modified mice including mice deficient in the vitamin D receptor (Vdr null mice) or in the cytochrome P-450 enzyme, 25-hydroxyvitamin D3-1α-hydroxylase (CYP27B1) that converts 25-hydroxyvitamin D3 to the hormonally active form of vitamin D, 1,25-dihydroxyvitamin D3 (1,25(OH)2D3) (Cyp27b1 null mice). When these mice are fed diets with high calcium and lactose rickets is prevented. The studies in the mouse models provide supporting evidence indicating that the major physiological function of 1,25(OH)2D3/VDR is intestinal calcium absorption. This review summarizes what is known about mechanisms involved in vitamin D regulated intestinal calcium absorption. Recent studies suggest that vitamin D does not affect a single entity but that a complex network of calcium regulating components is involved in the process of 1,25(OH)2D3 mediated active intestinal calcium absorption. In addition, numerous 1,25(OH)2D3 actions in the intestine have been described independent of calcium absorption. Although the translatability to humans requires further definition, an overview is presented related to compelling evidence from the laboratory of 1,25(OH)2D3 intestinal effects which include regulation of adhesion molecules to enhance barrier function, regulation of intestinal stem cell function, cellular homeostasis of other divalent cations, regulation of drug metabolizing enzymes and anti-inflammatory effects.