AbstractScanning electron microscopy (SEM), especially low‐voltage (1 KeV) high‐resolution SEM, can be used in conjunction with stereo pair high‐voltage (1 MeV) transmission electron microscopy (HVEM) of whole spread cells or thick sections effectively to correlate surface structure with internal structure. Surface features such as microvilli, pits, pseudopodia, ruffles, attached virus, and other surface‐related morphologic characteristics can be identified using SEM, while underlying cytoskeletal structure and organelle organization can be viewed by HVEM of the same preparation. However, the need to “prepare” cells for electron microscopy precludes observation in the living state. The use of several types of video‐enhanced light microscopy (VLM) permits observation of living cells such that certain surface and internal features can be observed at a relatively high level of resolution or detection. Thus, changes in living cells can be followed, and at appropriate times the cells may be chemically fixed or rapidly frozen and prepared for ultrastructural examination by electron microscopy.We have utilized VLM in conjunction with SEM and HVEM to correlate changes in shape and surface structure with changes in the internal structure of platelets. In addition, we have found it advantageous to use colloidal gold‐labeling procedures, because these markers are detectable by all three forms of microscopy. Using this approach we have labeled platelet membrane GPIIb/IIIa, a receptor for RGD‐containing adhesive proteins, with gold‐fibrinogen or gold‐anti‐IIb/IIIa. The initial binding and subsequent movement of gold‐fibrinogen‐IIb/IIIa complexes in living platelets was followed by VLM. The movement of individual labels could be mapped. Subsequent observation by low‐voltage (1 KeV), high‐resolution SEM and HVEM permits visualization of the same individual receptors tracked by LM. The final position on the membrane or the position‐in‐transit when fixative was added was determined relative to surface ultrastructure (SEM) and internal, particularly