Two-photon excitation (2PE) microscopy implementation in biological sciences and medicine [1] was immediately identified as a powerful fluorescence imaging method for studying living cell aggregates or tissues up to a significative depth, today close to one millimeter, not allowed by single photon approaches. Further benefits of two-photon excitation include: localized volume of excitation and emission, background rejection especially in 3D imaging, intrinsic optical sectioning, 3D localized photobleaching, photoswitching and uncaging, long term experiments [2]. These features have made possible experiments and innovations beyond the capability of traditional confocal microscopy. Unfortunately, one of the practical drawbacks in 2PE fluorescence microscopy is given by the worsening of spatial resolution due to red-shift of the excitation wavelength, only partially compensated by the improved signal-to-noise ratio. So far, image restoration [3] or aperture engineering [4] approaches have been used to alleviate such a condition.In 1994, Hell and Wichmann introduced the stimulated emission depletion (STED) concept as a way to achieve optical far-field super resolution by circumventing the diffraction barrier [5]. This revolutionary approach has been also implemented under 2PE conditions [6]. Considering the advantages related to 3D-2PE fluorescence microscopy, a 2PE-STED architecture allowing to enhance spatial resolution performances will be discussed. Under such conditions, 1PE STED and 2PE STED are driven to the very same resolution performance having only the weakness given by the low efficiency of 2PE with respect to 1PE. Since one of the main goals, in medical and biological applications, is to address questions related to thick highly scattering specimens, we recently designed, implemented and demonstrated a SW (single wavelength)-2PE-STED approach [7]. Demonstration that a widely used red-emitting fluorophore, ATTO647N, can be two-photon excited at a wavelength allowing both 2PE and STED using the very same laser source, will be discussed. This fact allows to perform 2PE microscopy at four to five times STED-improved resolution, while exploiting the intrinsic advantages of nonlinear excitation.In 2006 outstanding super resolution methods, based on precise localization of single molecules at the nanoscale, have been demonstrated following the pioneering PALM approach [8]. Such methods utilize the photophysical properties of fluorescent molecules by enabling the detection of sparse individual molecule photo-switched signatures. As a first step to 3D imaging in thick scattering cellular aggregates an individual molecule localization (IML) approach within a selective plane illumination microscopy (SPIM) set-up [9] has been implemented. IML-SPIM allowed to achieve 3D super resolution in tumoral mammalian cell spheroids [10].