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The cerebrospinal fluid (CSF) has long been a 'missing link' in our understanding of brain form, function, and disease. However, recent work has begun to illuminate how the CSF regulates the brain in ways that extend far beyond its passive historical roles and provides unique opportunities for studying, diagnosing, and potentially treating brain disorders. This Keystone Symposia conference brings together an interdisciplinary group of new and established scientists to discuss this newfound excitement about CSF. By exchanging discoveries about CSF sources (choroid plexus), routes (glymphatics), drainage (lymphatics), clinical utilities, and by fostering new ideas, collaborations, and training opportunities, this conference aims to coalesce an international community that can propel the CSF field forward. This conference is being held jointly with the Keystone Symposia conference titled Brain Therapeutics: Disruptive Technologies and Opportunities for Drug Development. The goal of this paring is to stimulate thinking about CSF-based medicinal therapies, given the advantages of CSF over blood in being 'behind' the blood-brain barrier and in equilibrating with the interstitial fluid surrounding brain cells.