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Specialized structures, such as glandular trichomes, roots, rhizomes, laticifer, heartwood, and so on, have evolved distinct developmental programs and metabolic regulatory networks, enabling efficient synthesis, storage, and secretion of bioactive compounds. Understanding how these tissues originate, differentiate, and coordinate metabolism is essential not only for elucidating the molecular basis of plant chemical diversity but also for decoding the biosynthetic pathways of active ingredients and improving their yields through metabolic engineering. This study summarizes recent advances in elucidating the developmental and regulatory mechanisms underlying the formation and function of specialized structures in medicinal plants, including genetic, hormonal, and environmental controls. Moreover, it also highlights the technologies that have advanced the exploration of tissue\u2010specific metabolism, development, and differentiation mechanisms. 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