In recent years,more and more studies have been conducted on the relationship between exosomes and lipid metabolism.Exosomes can affect the occurrence and development of lipid metabolism and play an important role in lipid metabolism and lipid-related diseases.At the same time,lipid metabolism can also regulate the biogenesis and function of exosomes.In this paper,based on recent domestic and foreign studies,the research progress of exosomes in the fields related to lipid metabolism was reviewed,and the potential value and clinical application of exosomes in lipid metabolism and lipid-related diseases are prospected.