The rough endoplasmic reticulum (RER) is found in eukaryotic cells and is responsible for protein synthesis and modification. It has a ribosome-studded surface that allows it to produce proteins destined for other organelles. Proteins are synthesized on the RER, folded and modified within its lumen, and transported to the Golgi apparatus for further processing before being shipped to their final destinations. The RER plays a critical role in protein quality control by rejecting any improperly folded proteins. Disturbances in RER function can trigger an unfolded protein response and even cell death if stress is severe or prolonged.