The techniques of classical epifluorescence microscopy are already wid
ely used by the immunological community to detect antigens at the cell
ular level. Coupled with the use of specific inhibitors that affect di
verse intracellular events these techniques have provided valuable inf
ormation on the mechanisms involved in antigen presentation. The same
biological samples can now be examined by confocal microscopy, which h
as a higher resolution than conventional microscopy and allows one to
analyse quantitatively single cross-sections of the sample. The confoc
al microscope is therefore especially well-suited for studies on intra
cellular membrane traffic, cell-to-cell interactions. and the distribu
tion of particular antigens and their co-localization with other intra
cellular markers. This review describes the technique of confocal micr
oscopy and the goals of sample preparation, along with several detaile
d protocols for fixing and permeabilizing cells and mounting them on m
icroscope slides. Representative examples are cited from studies on th
e endocytosis of surface receptors, the distribution of adhesion and m
ajor histocompatibility complex (MHC) molecules, and the interaction o
f an intracellular parasite with MHC molecules of the host cell.