This review aims to provide a comprehensive and in-depth survey of a cell organelle, the annulate lamellae, that is widely distributed and especially prevalent in both female and male sex cells as well as tumor and cancer cells. The organelle is also present in many somatic cells and plant cells. Emphasis is placed on the contributions that electron microscopy and associated experimental approaches have made in providing information about the distribution, ultrastructure, morphogenesis and relationships of annulate lamellae to other cellular organelles, especially the nuclear envelope and endoplasmic reticulum, as well as cell product. An increasing number of experimental manipulations have recently been shown to alter, either increase or decrease, the amount of annulate lamellae and these studies are explored in depth. Information about the origin and morphogenesis of annulate lamellae in different cells is summarized and extensive coverage is given to several hypotheses about possible annulate lamellae function. A detailed bibliography provides a thorough compilation of research dealing with annulate lamellae. A major goal of this extensive review is to generate increased awareness of, and interest in, this cell organelle for students and investigators of the cell who, by bringing current techniques in cell and molecular biology to bear, might focus and intensify studies on the function of an organelle whose precise role in the cell is presently enigmatic.