Gas exchange is the physiological process by which gases move passively by diffusion across a surface. For example, this surface might be the air/water interface of a water body, the surface of a gas bubble in a liquid, a gas-permeable membrane, or a biological membrane that forms the boundary between an organism and its extracellular environment.

Gases are constantly consumed and produced by cellular and metabolic reactions in most living things, so an efficient system for gas exchange between, ultimately, the interior of the cell(s) and the external environment is required. Small, particularly unicellular organisms, such as bacteria and protozoa, have a high surface-area to volume ratio. In these creatures the gas exchange membrane is typically the cell membrane. Some small multicellular organisms, such as flatworms, are also able to perform sufficient gas exchange across the skin or cuticle that surrounds their bodies. However, in most larger organisms, which have small surface-area to volume ratios, specialised structures with convoluted surfaces such as gills, pulmonary alveoli and spongy mesophylls provide the large area needed for effective gas exchange. These convoluted surfaces may sometimes be internalised into the body of the organism. This is the case with the alveoli, which form the inner surface of the mammalian lung, the spongy mesophyll, which is found inside the leaves of some kinds of plant, or the gills of those molluscs that have them, which are found in the mantle cavity.

In aerobic organisms, gas exchange is particularly important for respiration, which involves the uptake of oxygen (O
₂) and release of carbon dioxide (CO
₂). Conversely, in oxygenic photosynthetic organisms such as most land plants, uptake of carbon dioxide and release of both oxygen and water vapour are the main gas-exchange processes occurring during the day. Other gas-exchange processes are important in less familiar organisms: e.g. carbon dioxide, methane and hydrogen are exchanged across the cell membrane of methanogenic archaea. In nitrogen fixation by diazotrophic bacteria, and denitrification by heterotrophic bacteria (such as Paracoccus denitrificans and various pseudomonads), nitrogen gas is exchanged with the environment, being taken up by the former and released into it by the latter, while giant tube worms rely on bacteria to oxidize hydrogen sulfide extracted from their deep sea environment, using dissolved oxygen in the water as an electron acceptor.

Diffusion only takes place with a concentration gradient. Gases will flow from a high concentration to a low concentration. A high oxygen concentration in the alveoli and low oxygen concentration in the capillaries causes oxygen to move into the capillaries. A high carbon dioxide concentration in the capillaries and low carbon dioxide concentration in the alveoli causes carbon dioxide to move into the alveoli.

The exchange of gases occurs as a result of diffusion down a concentration gradient. Gas molecules move from a region in which they are at high concentration to one in which they are at low concentration. Diffusion is a passive process, meaning that no energy is required to power the transport, and it follows Fick's law: ^{[citation needed]}

In relation to a typical biological system, where two compartments ('inside' and 'outside'), are separated by a membrane barrier, and where a gas is allowed to spontaneously diffuse down its concentration gradient:^{[citation needed]}

Gases must first dissolve in a liquid in order to diffuse across a membrane, so all biological gas exchange systems require a moist environment. In general, the higher the concentration gradient across the gas-exchanging surface, the faster the rate of diffusion across it. Conversely, the thinner the gas-exchanging surface (for the same concentration difference), the faster the gases will diffuse across it.

In the equation above, J is the flux expressed per unit area, so increasing the area will make no difference to its value. However, an increase in the available surface area, will increase the amount of gas that can diffuse in a given time. This is because the amount of gas diffusing per unit time (dq/dt) is the product of J and the area of the gas-exchanging surface, A: