Ca V 1 and Ca V 2 voltage-gated calcium channels are associated with β and α 2 δ accessory subunits. However, examination of cell surface-associated Ca V 2 channels has been hampered by the lack of antibodies to cell surface-accessible epitopes and of functional exofacially tagged Ca V 2 channels. Here we report the development of fully functional Ca V 2.2 constructs containing inserted surface-accessible exofacial tags, which allow visualization of only those channels at the plasma membrane, in both a neuronal cell line and neurons. We first examined the effect of the auxiliary subunits. Although α 2 δ subunits copurify with Ca V 2 channels, it has recently been suggested that this interaction is easily disrupted and nonquantitative. We have now tested whether α 2 δ subunits are associated with these channels at the cell surface. We found that, whereas α 2 δ-1 is readily observed at the plasma membrane when expressed alone, it appears absent when coexpressed with Ca V 2.2/β1b, despite our finding that α 2 δ-1 increases plasmamembrane Ca V 2.2 expression. However, this was due to occlusion of the antigenic epitope by association with Ca V 2.2, as revealed by antigen retrieval; thus, our data provide evidence for a tight interaction between α 2 δ-1 and the α 1 subunit at the plasma membrane. We further show that, although Ca V 2.2 cell-surface expression is reduced by gabapentin in the presence of wild-type α 2 δ-1 (but not a gabapentin-insensitive α 2 δ-1 mutant), the interaction between Ca V 2.2 and α 2 δ-1 is not disrupted by gabapentin. Altogether, these results demonstrate that Ca V 2.2 and α 2 δ-1 are intimately associated at the plasma membrane and allow us to infer a region of interaction. P urification of L-type voltage-gated calcium (Ca V ) channels from skeletal muscle shows that they consist of a pore-forming α 1 subunit, Ca V 1.1, associated with three accessory subunits, β1, α 2 δ-1, and γ 1 (1, 2). Cardiac L-type channels have a similar subunit composition, although the α 1 subunit is α1C and the γ subunit is not present (3). However, the study of cell surface-associated N-type (Ca V 2.2) and P/Q-type (Ca V 2.1) calcium channels has been hampered by the lack both of antibodies to cell-surface epitopes and of functional exofacially tagged Ca V 2 channels. Here we report the development of fully functional Ca V 2.2 constructs containing inserted surface-accessible exofacial tags, which allow visualization of only those channels at the cell surface, in both cell lines and neurons. Using this methodological advance, we can now examine directly the effect of the auxiliary subunits on cellsurface expression of Ca V 2 channels.Although α 2 δ subunits have been shown to be associated with Ca V 2.1 and Ca V 2.2 following purification (4, 5), it has recently been suggested that the α 2 δ subunits are associated only very loosely and nonquantitatively with Ca V 2 channels (6), calling into question their role as calcium channel subunits. This study found that the α 2 δ proteins α 2 δ-1, α 2 δ-2, and α 2 δ-3 c...