SummaryOver the years of chromatographic evolution, the purpose of using internal standards for quantitative determinations in bioanalysis has shifted from covering (correcting for) random and systematic errors of the entire method (including sample preparation, chromatography and detection) to currently covering (correcting for) random and systematic errors of the detection, by MS-MS especially. However, the need for internal standards in current LC-MS-MS is also dependent on the degree of chromatographic separation and the degree of sample clean-up. This emphasizes the need for integrated method development, including selection of an internal standard. Available options for internal standard selection are (1) no internal standard, (2) a structurally related compound, (3) a structurally similar compound or (4) a stable isotope labelled compound. An overview of the purposes of internal standards in bioanalytical LC-MS-MS is given and this overview is supported by various illustrations using different types of internal standards.An overview of the purposes of internal standards in bioanalytical LC-MS-MS is given. It is supported byvarious illustrations using different b, pes of internal standards.The option of using cleuterated internal standards has given us surprising results in some cases, where chromatographic and/or extraction behaviour of cleuterated internal standards was different from the analyte.