Our understanding of G protein-coupled receptor (GPCR) signalling has significantly evolved over the past decade, whereby signalling not only occurs from the plasma membrane but continues, or is reactivated, following internalisation in to endosomal compartments. The spatial organisation of GPCRs is thus essential to decode dynamic and complex signals and to activate specific downstream pathways that elicit the appropriate cellular response. For the gonadotrophin hormone receptors, membrane trafficking has been demonstrated to play a significant role in regulating its signal activity that in turn would impact at physiological and even pathophysiological level. Here, we will describe the developments in our understanding of the role of 'location' in gonadotrophin hormone receptor signalling, and how these receptors have unveiled fundamental mechanisms of signal regulation likely to be pertinent for other GPCRs. We will also discuss the potential impact of spatially controlled gonadotrophin hormone receptor signalling in both health and disease, and the therapeutic possibilities this new understanding of these receptors, so key in reproduction, offers.Reproduction (2018) 156 R195-R208 R196 Reproduction (2018) 156 R195-R208 https://rep.bioscientifica.com Gonadotrophin hormone receptor trafficking R197 https://rep.bioscientifica.com Reproduction (2018) 156 R195-R208 S Sposini and A C Hanyaloglu R198 Reproduction (2018) 156 R195-R208 https://rep.bioscientifica.com S Sposini and A C Hanyaloglu R200 Reproduction (2018) 156 R195-R208 https://rep.bioscientifica.com S Sposini and A C Hanyaloglu R202 Reproduction (2018) 156 R195-R208 https://rep.bioscientifica.com S Sposini and A C Hanyaloglu R204 Reproduction (2018) 156 R195-R208 References Abbe E. 1873 Beitrage zur Theorie des Mikroskops und der mikroskopischen Wahrnehmung. Archiv für mikroskopische Anatomie 9 413-420. (https:// doi.org/10.1007/BF02956173) Aittomaki K, Lucena JL, Pakarinen P, Sistonen P, Tapanainen J, Gromoll J, Kaskikari R, Sankila EM, Lehvaslaiho H, Engel AR et al. 1995 Mutation in the follicle-stimulating hormone receptor gene causes hereditary hypergonadotropic ovarian failure. Cell 82 959-968. (https://doi. org/10.1016/0092-8674(95)90275-9) Andric N & Ascoli M 2006 A delayed gonadotropin-dependent and growth factor-mediated activation of the extracellular signal-regulated kinase 1/2 cascade negatively regulates aromatase expression in granulosa cells. Molecular Endocrinology 20 3308-3320. (https://doi.org/10.1210/ me.2006-0241)