The aqueous compartment inside a vesicle makes its first connection with the extracellular fluid through an intermediate structure termed the exocytotic fusion pore. Progress in exocytosis can be measured in terms of the formation and growth of the fusion pore. The fusion pore has become a major focus of research in exocytosis; sensitive biophysical measurements have provided various glimpses of what it looks like and how it behaves. Some of the principal questions about the molecular mechanism of exocytosis can be cast explicitly in terms of properties and transitions of fusion pores. This Review will present current knowledge about fusion pores in Ca 2+ -triggered exocytosis, highlight recent advances and relate questions about fusion pores to broader issues concerning how cells regulate exocytosis and how nerve terminals release neurotransmitter.During exocytosis, the merger of two biological membranes is accompanied by the mixing of the two aqueous compartments delimited by those membranes. Thus, a fluid connection forms between the two aqueous compartments at a distinct time. This connection starts out as a microscopic water-filled passage with a long narrow shape that evokes the image of a pore. The formation of the fusion pore marks a well-defined stage in the fusion process that can be studied experimentally. Likewise, the merger of the two fusing membranes marks a well-defined stage in the fusion process, which can also be studied experimentally. These two processes, aqueous content mixing and membrane merger, need not occur simultaneously, and, as will be discussed in detail below, different models of membrane fusion make different predictions about the sequence of these two events. Furthermore, since the fusion pore emerges as a structure of molecular dimensions within a specialized contact between two fusing membranes, studying the structure and dynamics of the fusion pore reveals the process of exocytosis at a fundamental level.Electron microscopy provided the first images of fusion pores with diameters of ~50 nm, but it was pointed out that these pores could have grown from something smaller1 , 2. Electrical measurements captured fusion intermediates with conductances ranging from 20 to 330 pS, and from these values one can estimate a fusion pore diameter of on the order of ~1 nm (refs. 3 -5). The structures inferred from these electrical measurements are good candidates for early-stage fusion pores. In addition to conducting ions, fusion pores also pass small neurotransmitters, and amperometric recording has revealed the flux of some of these molecules6 -8. Reports vary as to whether the initial fusion pore is well-defined and stable9 , 10, or noisy and chaotic11 -13. Thus, it is small and has protein-like dimensions, but it is not clear whether it can maintain the kind of rigid conducting state characteristic of proteinaceous ion channels. Capacitance measurements have shown that fusion pore opening is a reversible process4 , 6 , 14 -17, and amperometry has confirmed these observations6 ,...