Photosensitizers (PSs) with stimuli-responsive reversible switching of intersystem crossing (ISC) are highly promising for smart photodynamic therapy( PDT), but achieving this goal remains at remendous challenge.T his study introduces astrategy to obtain such reversible switching of ISC in an ew class of PSs,w hiche xhibit stimuli-initiated twisting of conjugated backbone.W ep resent am ultidisciplinary approachthat includes femtosecond transient absorption spectroscopyand quantum chemical calculations.The organic structures reported showr emarkably enhanced ISC efficiency (F ISC ), switching from nearly 0to90%,through an increase in the degree of twisting,p roviding an innovative mechanism to promote ISC.T his leads us to propose here and demonstrate the concept of smart PDT,w here pH-induced reversible twisting maximizes the ISC rate,a nd thus enables strong photodynamic action only under pathological stimulus (such as change in pH, hypoxia, or exposure to enzymes). The ISC process is turned off to deactivate PDT ability,when the PS is transferred or metabolized away from pathological region.