We report the first cellular application of the emerging near-quantitative photoswitchp yrrole hemithioindigo,b yr ationally designing photopharmaceutical PHTub inhibitors of the cytoskeletal protein tubulin. PHTubsa llow simultaneous visible-light imaging and photoswitching in live cells,d elivering cell-precise photomodulation of microtubule dynamics,a nd photocontrol over cell cycle progression and cell death. This is the first acute use of ah emithioindigo photopharmaceutical for high-spatiotemporal-resolution biological control in live cells.I ta dditionally demonstrates the utility of near-quantitative photoswitches,b ye nabling ad arkactive design to overcome residual backgroundactivity during cellular photopatterning.This work opens up new horizons for high-precision microtubule researchusing PHTubsand shows the cellular applicability of pyrrole hemithioindigo as av aluable scaffold for photocontrol of ar ange of other biological targets.