Exocytosis is an active transport process that expels materials from a cell to the external environment using energy, functioning as the opposite of endocytosis. It involves vesicles formed by the Golgi bodies, endosomes, and presynaptic neurons, which fuse with the cell membrane to release contents such as proteins and hormones. Three pathways of exocytosis include constitutive, regulated, and lysosome-mediated exocytosis, each serving distinct functions in cellular processes.