Cholesterol homeostasis is critical for cell function and human health. Cholesterol is heterogeneously distributed among cellular membranes, with the redistribution of endocytosed dietary cholesterol playing a pivotal role in the regulation of cholesterol homeostasis. While gaps remain in our understanding of intracellular dietary cholesterol transport, a highly complex network of pathways is starting to emerge, often involving inter-dependent vesicular and non-vesicular transport mechanisms. The last decade has seen a surge in interest in non-vesicular transport and interorganellar communication at membrane contact sites. By providing platforms for protein interactions, signalling events, lipid exchange and calcium flux, membrane contact sites (MCS) are now appreciated as controlling the fate of large amounts of lipid and play central roles in the regulation and co-ordination of endocytic trafficking. Here, we review the role of MCS in multiple pathways for cholesterol export from the endocytic pathway and highlight the intriguing interplay between vesicular and non-vesicular transport mechanisms and relationship with neurodegenerative disease. K E Y W O R D S cholesterol homeostasis, cholesterol transport, endosome, inter-organellar, lysosome, membrane contact sites, tethers, trafficking Cholesterol is an essential constituent of cell membranes, maintaining membrane integrity and limiting permeability, but its distribution between different cellular membranes varies considerably. Cholesterol is particularly enriched at the plasma membrane (estimated to contain approximately 60% of total cellular cholesterol 1 ), whereas the endoplasmic reticulum (ER), which is the site of cholesterol sensing biosynthesis and storage, has a relatively low cholesterol content (approximately 5% of total ER lipids). 3 Two sources of cholesterol are available to the cell-endocytosed dietary cholesterol or cholesterol synthesized de novo in the ER. While the contribution to total cholesterol from de novo synthesis is believed to outweigh that from the diet, the delivery of dietary cholesterol to the ER is important in the regulation of both sources. Dietary cholesterol is packaged into lipoprotein particles and transported in plasma, primarily in low-density lipoprotein (LDL). LDL is comprised of a cholesterol ester/triglyceride core surrounded by a phospholipid and unesterified ("free") cholesterol shell, with a protein component (apoB-100) that acts as a specific ligand for the LDL receptor (LDLR).LDL enters the endocytic pathway through clathrin-mediated LDLR endocytosis. Progressive hydrolysis by acid lipases releases free cholesterol that is delivered by the small luminal protein Niemann Pick type-C protein 2 (NPC2) to the large transmembrane protein NPC1