Leukocytes comprise less than 1% of all blood cells. Enrichment of their number, starting from a sample of whole blood, is the required first step of many clinical and basic research assays. We created a microfluidic device that takes advantage of the intrinsic features of blood flow in the microcirculation, such as plasma skimming and leukocyte margination, to separate leukocytes directly from whole blood. It consists of a simple network of rectangular microchannels designed to enhance lateral migration of leukocytes and their subsequent extraction from the erythrocytedepleted region near the sidewalls. A single pass through the device produces a 34-fold enrichment of the leukocyte-to-erythrocyte ratio. It operates on microliter samples of whole blood, provides positive, continuous flow selection of leukocytes, and requires neither preliminary labeling of cells nor input of energy (except for a small pressure gradient to support the flow of blood). This effortless, efficient, and inexpensive technology can be used as a lab-on-a-chip component for initial whole blood sample preparation. Its integration into microanalytical devices that require leukocyte enrichment will enable accelerated transition of these devices into the field for point-of-care clinical testing.The rapidly expanding field of lab-on-a-chip microanalytical devices promises inexpensive, portable, miniaturized tools that could potentially revolutionize clinical and basic research analyses by dramatically reducing sample size and handling.1 -3 An important application of this technology is the analysis of leukocytes (white blood cells) or their contents, for which these cells must first be isolated from the whole blood sample. [4][5][6][7] Blood is a 45% suspension of cells (erythrocytes, platelets, leukocytes) in plasma. Erythrocytes (red blood cells) constitute the vast majority of all blood cells and are normally ∼1000 times more abundant than leukocytes. Traditionally, several milliliters of whole blood are drawn and then centrifuged in order to separate blood cells of different density. Plasma, platelets, and white and red cells can be separated by this procedure, but it is a labor-, energy-, and time-intensive process that relies on special equipment and requires trained personnel. 8, 9 Many current microanalytical devices have no integrated sample