Exosomes, which form a class of extracellular vesicles (EVs), are membrane-bound lipid nanovesicles with sizes typically in the Exosomes, a class of small extracellular vesicles (30-150 nm), are secreted by almost all types of cells into virtually all body fluids. These small vesicles are attracting increasing research attention owing to their potential for disease diagnosis and therapy. However, their inherent heterogeneity and the complexity of bio-fluids pose significant challenges for their isolation. Even the "gold standard," differential centrifugation, suffers from poor yields and is time-consuming. In this context, recent developments in microfluidic technologies have provided an ideal system for exosome extraction and these devices exhibit some fascinating properties such as high speeds, good portability, and low sample volumes. In this review, the focus is on the state-ofthe-art microfluidic technologies for exosome isolation and highlight potential directions for future research and development by analyzing the challenges faced by the current strategies. range of 30-150 nm. [1] They are secreted by almost all cells into diverse bio-fluids, including blood, urine, breast milk, saliva, lymph, and cerebrospinal fluid. [2] The discovery of exosomes dates back to the 1980s, but for many years after their discovery, they were regarded as "dust". [3,4] However, recent studies have shown that they play a crucial role in intercellular communication. [5,6] The biogenesis of exosomes includes double invagination of membranes, formation of intracellular multivesicular bodies (MVBs), and the release of exosomes (Figure 1). The first invagination process (plasma-membrane budding) generates early-sorting endosomes (ESEs) that can develop into late-sorting endosomes (LSEs). The LSEs are invaginated once again to form MVBs containing intraluminal vesicles (ILVs). Finally, the MVBs fuse with the plasma membrane to release ILVs (exosomes). [7] After release, these exosomes are taken up by recipient cells via multiple processes, such as macropinocytosis, fusion with the cell membrane, clathrin-dependent endocytosis, and phagocytosis. [8] The exosomes uptaken can act either at the surface of the recipient cells or deliver functional cargo in their bulk, thus affecting recipient-cell behavior. [9] Thus, exosomes play a key role in various physiological and pathological processes, including mammalian reproduction and development, immune responses, and disease progression. [10] Exosomes are reported to exhibit many excellent characteristics for clinical applications (Figure 2). 1) They can reflect the real-time state of the original cell, as they are actively secreted by living cells. 2) They are abundant in virtually all biological fluids (up to 10 10 vesicles per mL). [11] 3) Exosomes have enriched contents, including cell-surface substances and cytoplasmic constituents (including proteins, nucleic acids, lipids, and metabolites). Furthermore, exosomes can not only protect enzyme-sensitive cargos from degradation, but also ...