One of the challenges facing biomedical science is of its own making—namely, the progressive increase in lifespans. An increasing number of individuals require treatment and the treatments themselves have to work for longer. A shift in emphasis is therefore required towards biological approaches including the regeneration of tissues. Tissue engineering can be best defined by its goal—the design and construction in the laboratory of living components that can be used for the maintenance, repair or replacement of malfunctioning tissues. In this discipline, born in 1933 when tumour cells were wrapped in a polymer membrane and implanted into a pig,1 the life sciences and medicine come together with engineering in activities centred on three basic components—cells, scaffolds and signals. The development of tissue engineering has lately been spurred by the increased availability of cell sources, proteomics, the advent of new biomaterials, improvements in bioreactor design and increased understanding of healing. However, neither commercial development nor clinical application of tissue engineered products has kept pace with this rapidly evolving research. Industrial development has been hindered by difficulties in devising cost-efficient processes, guaranteeing product viability and satisfying the regulators. Nevertheless, the coming years will see a large increase in the number of patients benefiting from tissue engineering. For the cell biology component of tissue engineering, the greatest challenge is to optimize the isolation, proliferation and differentiation of cells and to design scaffolds or delivery systems that yield tissue growth in three dimensions. Ideally, we would harvest stem cells from a patient, expand them in cell culture, seed them on a scaffold and then implant the resultant tissue. Stem cells, when given the specific biological stimuli, can differentiate to become many types of specific mature cells, and use of these cells avoids the immunorejection that can occur with donor transplants. In addition, the technique of somatic nuclear transfer allows the creation of autologous cells and tissues from allogeneic embryonic stem cells. It is then important for the scaffold to act as a template and stimulus for proliferation and differentiation of the stem cells into the mature cells that will generate specific new tissue. The tissue can be grown on a scaffold that will resorb, so that only the new tissue will be implanted, or a 'biocomposite' of the scaffold and new tissue can be implanted. After implantation, the tissue-engineered construct must be able to survive, restore normal function and integrate with the surrounding tissues.