Many membrane-resident and secrected proteins, including growth factors and their receptors are N-glycosylated. The initial N-glycan structure consists of 14 sugar residues (Glc3Man9GlcNAc2) that are first synthesized in the endoplasmic reticulum (ER) as a branched structure on a lipid anchor (dolicholpyrophosphate) and then co-translationally, “en bloc” transferred and linked via N-acetylglucosamine (GlcNAc) to asparagine within a specific N-glycosylation acceptor sequence (Asn-X-Ser/Thr) of the nascent recipient protein. In the ER and then the Golgi apparatus, the N-linked glycan structure is modified by hydrolytic removal of sugar residues (“trimming”) followed by re-glycosylation with additional sugar residues (“processing”) such as galactose, fucose or sialic acid in complex N-glycoproteins. While the sequence of the reactions leading to biosynthesis, “en bloc” transfer and processing of N-glycans is well investigated, it is still not completely understood how N-glycans affect the biological fate and function of N-glycoproteins. Initially, N-glycans have been found to be critical for proper protein folding and quality control by chaperones in the ER, a process now known as the “calnexin/calreticulin cycle” in the unfolded protein response and ER-assisted degradation (ERAD). More recently, N-glycans have been shown to modulate the function of many cell surface proteins involved in migration and adhesion, including those regulating myelination. Currently, the Golgi has emerged as an organelle that is intimately linked to editing the function of N-glycans in N-glycoprotein transport and sorting. For one, it has been shown that mutations in Golgi glycosyltransferases and transport proteins lead to defects in N-glycan processing that cause severe congenital disorders of glycosylation (CDG). On the other hand, it has been found that N-glycans affect transport of glycosylated proteins in the Golgi, including sorting of secreted proteins such as prions and amyloid. Our group has shown that N-glycan-dependent enzyme complex formation may entangle processing of N-glycosylated glycosyltransferases with glycosphingolipid metabolism, which appears to be important for ganglioside class switches during embryonic brain development. This review will discuss the biology of N-glycoprotein synthesis, processing and function with specific reference to the physiology and pathophysiology of the nervous system.