Self-organization is a promising method within the framework of bottom-up architectures to generate nanostructures in an efficient way. The present work demonstrates that self-organization on the length scale of a few to several tens of nanometers can be achieved by a proper combination of a large (organic) molecule and a vicinal metal surface if the local bonding of the molecule on steps is significantly stronger than that on low-index surfaces. In this case thermal annealing may lead to large mass transport of the subjacent substrate atoms such that nanometer-wide and micrometer-long molecular stripes or other patterns are being formed on high-index planes. The formation of these patterns can be controlled by the initial surface orientation and adsorbate coverage. The patterns arrange self-organized in regular arrays by repulsive mechanical interactions over long distances accompanied by a significant enhancement of surface stress. We demonstrate this effect using the planar organic molecule PTCDA as adsorbate and Ag (10 8 7) and Ag(775) surfaces as substrate. The patterns are directly observed by STM, the formation of vicinal surfaces is monitored by highresolution electron diffraction, the microscopic surface morphology changes are followed by spectromicroscopy, and the macroscopic changes of surface stress are measured by a cantilever bending method. The in situ combination of these complementary techniques provides compelling evidence for elastic interaction and a significant stress contribution to long-range order and nanopattern formation.It is well established that the formation of interfaces, e.g. by adsorption of atoms or small molecules on a metal or semiconductor surface, can lead to (changes of) reconstructions of the surface on atomic scales and hence to new geometric and electronic interface structures [1]. In some cases it has been argued that such reconstructions lead to regular nanoscopic patterns, which may be used to align molecules [2][3][4][5] or as templates for the subsequent buildup of three-dimensional (3D) nanostructures [6-10]. It is less well established, however, that such reconstructions can occur on large (mesoscopic) scales [11][12][13][14]. And it is hardly known that such reconstructions involving considerable mass transport of several substrate layers can even be induced by adsorption of large organic molecules, which are also used in organic devices.In the present work we present experimental evidence for this phenomenon. Several complementary in situ methods are employed to investigate the possible changes as function of preparation parameters and to understand the underlying mechanisms for microscopic and mesoscopic reconstructions. It is particularly shown that the adsorption of a large organic molecule on vicinal metal surfaces can lead to very significant