Epithelial tissues are in constant interaction with their environment. Maintaining their functionality requires dynamic balance (homeostasis) and that their cell numbers are tightly regulated. This is achieved by cell extrusion programs, a checkpoint mechanism eliminating unwanted or harmful cells. Researchers at the Max-Planck-Zentrum für Physik und Medizin (MPZPM), Institut Jacques Monod (CNRS, UP Cité, France) and Niels Bohr Institute (Denmark) have now demonstrated how physical signals can have an impact on the fate of extruding cells governing their death or survival.