When dealing with biosensing and nanomedicine applications the length scale of targets may vary over more than 5 orders of magnitude moving from the molecular level (0.1-1 nm) up to the cell level (1-10 μm). A number of micro and nanostructuring technologies have been developed over the years to enable the preparation of both structures and systems with length scales suitable to match specific biological targets. In this talk, electrochemical preparation of nano and micro structures and systems in silicon with length scales spanning over 5 order of magnitudes, able to target different applications both in (nano)medicine (e.g. sinusoid-like liver on a chip, nanopillars for cell transfection, 3D microincubators for tumor cell screening) and (bio)sensing (e.g. microneedles for transdermal biosensing, optical biosensors for point-of-care clinical diagnostics, chemitransitor sensors for environmental monitoring), is presented and discussed. 1. S.Mariani, V. Robbiano, L. M. Strambini, A. Debrassi, G. Egri, L. Dähne, G. Barillaro, Layer-by-layer biofunctionalization of nanostructured porous silicon for high-sensitivity and high-selectivity label-free affinity biosensing, Nature Communications, 9, 5256, 1-13 (2018) 2. B. Delalat, C. Cozzi, S. R. Ghaemi, G. Polito, F. E. Kriel, T. D. Michl, F. J. Harding, C. Priest, G. Barillaro, N. H. Voelcker, Microengineered Bioartificial Liver Chip for Drug Toxicity Screening, Advanced Functional Materials 1801825 (2018).3. Robbiano, G. M. Paterno, A. A. La Mattina, S. G. Motti, G. Lanzani, F. Scotognella, G. Barillaro, Room-Temperature Low-Threshold Lasing From Monolithically Integrated Nanostructured Porous Silicon Hybrid Microcavities, ACS Nano12, 4536−4544 (2018). 4. J. Harding, S. Surdo, B. Delalat, C. Cozzi, R. Elnathan, S. Gronthos, N. H. Voelcker, G. Barillaro, Ordered Silicon Pillar Arrays Prepared by Electrochemical Micromachining: Substrates for High-Efficiency Cell Transfection, ACS Applied Materials and Interfaces, 8 (43), 29197-29202 (2016). 5. Mariani, L. M. Strambini, G. Barillaro, Femtomole Detection Of Proteins Using A Label-Free Nanostructured Porous Silicon Interferometer For Perspective Ultra-Sensitive Biosensing, ACS Analytical Chemistry, 88 (17), 8502-8509 (2016). 6. Mariani, L. Pino, L. M. Strambini, L. Tedeschi, G. Barillaro, 10000-Fold Improvement in Protein Detection Using Nanostructured Porous Silicon Interferometric Aptasensors, ACS Sensors, 1, 1471-1479(2016). 7. M. Sainato, L.M. Strambini, S. Rella, E. Mazzotta, G. Barillaro, Sub-Parts Per Million NO2 Chemi-Transistor Sensors Based on Composite Porous Silicon/Gold Nanostructures Prepared by Metal-Assisted Etching, ACS Applied Materials and Interfaces 7, 7136 (2015). 8. M. Strambini, A. Longo, S. Scarano, T. Prescimone, I. Palchetti, M. Minunni, D. Giannessi, G. Barillaro, Self-Powered Microneedle-Based Biosensors for Pain-Free High-Accuracy Measurement of Glycaemia in Interstitial Fluid, Biosensors and Bioelectronics,66, 162 (2015).