Current research on dietary polyphenols is mostly focused on the so-called extractable polyphenols (EPP), those ones relased from food matriz by several solvent combination. However, this ignores a relevant fraction of polyphenols remaining in the residues of those extractions, the non-extractable polyphenols (NEPP) or macromolecular antioxidants. They are either polymeric structures (mostly high molecular weight proanthocyanidins) or small phenolic structures closely linked to macromolecules such a proteins or dietary fibre. This partial approach to these dietary bioactive constituents may hamper the understanding of the whole relevance of dietary polyphenols. The present chapter provides an overview on the current knowledge of NEPP. In particular, the following aspecs are explored: strategies for the release and analysis of NEPP; contribution of these compounds to total polyphenol content in foods and, therefore to total polyphenol intake in different populations; evidences of their metabolic fate as well as specific features as compared to that of EPP; mechanism of biological action (antioxidant effects, modulation of colonic microbiota, biological activities of NEPP-derived metabolites, synergy with dietary fibre); evidences of their biological activity (considering both local effects in the digestive tube and systemic effects through their metabolites). Finally, the chapter provides some perspectives of the 2 main aspects that should be considered in order to advance in the scientific knowledge on NEPP in the near future.