The living cell, the fundamental unit of biological organization, was discovered in its apparent simplicity by van Leeuwenhoek in the 17th century. Scientists since then have continued to unpack nested levels of amazingly complex cellular structure and organization, right down to the atomic level. However, one of the cell's simplest properties is not yet understood, perhaps even misunderstood. The interior of the cell contains a high concentration of dissolved solutes, principally ions, metabolites, proteins, and RNA. In a word, it is crowded in there. Estimates range from 30% to 40% by volume occupied by protein and RNA solutes, depending on the cell type and compartment (1). Biochemists and biophysicists have long been concerned that these high concentrations impart significantly nonideal solution behavior. The vast majority of measurements of equilibria and rates have been made in vitro. Although the ionic strength, osmolality, pH, and redox potential environment inside the cell can be matched with suitable buffers, the concern is that the effects of the macromolecular solutes, principally protein and RNA, are not accounted for. The crucial and currently unanswered questions are, How relevant is the plethora of in vitro experiments to in vivo conditions? Are measured equilibrium constants, rates, and other thermodynamic data significantly different? If so, by how much and in what direction? In principle one can address this directly by in vivo measurements, but the experiments are difficult, and the answers have been slow in coming. In PNAS Smith et al. (2), by measuring a protein folding equilibrium in vivo, now provide some answers-and they are surprising.To appreciate the surprise, it is helpful to briefly touch on the more than three-decade history of the macromolecular crowding field. The notable feature of macromolecules as cosolvents that is missing from simple buffers is their size. All molecules in solution effectively exclude each other; they cannot overlap, due to what is termed the hard-core or van der Waals repulsion. An early pioneer in this field, Minton (3), explicitly emphasized "excluded volume as a determinant of macromolecular structure and reactivity," whereas Ellis (4) stressed the "obvious" aspect of this, meaning that a large excluded volume is a property of all macromolecules. An extensive review covers much of the subsequent literature (5). Of course, solutes can cause nonideal behavior through a second mechanism, strong intermolecular interactions such as electrostatic and hydrophobic effects. Although crowding is now often used as a synonym for any effects of concentrated solutes, for the purpose of this commentary I will take crowding to refer to the excluded volume effects, as originally defined (3, 4), because disentangling size effects and interaction effects is precisely where the advances of Smith et al. (2) lie. I also discuss effects on equilibria only. Given our recently revised understanding of equilibrium effects, it seems premature to discuss the more complex effects of...