Gas exchange is the uptake of oxygen from the environment and release of carbon dioxide. It occurs across respiratory surfaces like the skin, gills, or lungs. Efficient gas exchange requires surfaces to be moist, large, and protected. Diffusion of gases down pressure gradients moves oxygen inward and carbon dioxide outward. As organisms grow larger, gas exchange becomes more difficult due to decreasing surface area to volume ratio, requiring adaptations like lungs. Ventilation improves gas exchange by moving air or water over respiratory surfaces using structures like gill covers or the diaphragm and rib cage. Respiratory pigments like hemoglobin increase the oxygen carrying capacity of blood.