Connective tissue is formed by cells and an extracellular matrix. The extracellular matrix provides structure and regulates cell behavior through fibrillar proteins like collagen and elastin. Collagen is the most abundant protein in mammals and forms fibrils that give tissues strength and flexibility. Collagen synthesis involves extensive post-translational modifications within and outside cells, including hydroxylation, glycosylation, and cross-linking. These modifications are essential for collagen's signature triple helical structure and high tensile strength. Over 30 collagen types exist with diverse structures and tissue distributions that contribute to their unique functions.