Purpose of Review <p>Intravital imaging technologies have significantly transformed our understanding of osteocyte biology by enabling real-time visualization of these cells within their native microenvironment. Historically viewed as static, embedded cells, osteocytes are now recognized as dynamic and responsive, actively participating in bone remodeling, mechanotransduction, and intercellular communication. This review highlights recent advances in intravital microscopy techniques—including two-photon and three-photon imaging—and their application to studying osteocyte function in situ and in vivo.</p> Recent Findings <p>Innovations in intravital imaging have allowed researchers to visualize osteocyte structural plasticity, intracellular signaling dynamics, and cell–cell interactions within the dense, mineralized bone matrix. These approaches have provided new insights into osteocyte mechanosensitivity and functional heterogeneity. However, challenges remain, including optical scattering in cortical bone and the technical complexity required for imaging preparation and data acquisition.</p> Summary <p>The continued refinement of intravital imaging methods will further enhance our ability to investigate key questions regarding osteocyte network connectivity, mechanotransduction, and plasticity over extended timescales. Advances in imaging technology hold great promise to bridge the experimental flexibility of in vitro systems with the physiological complexity of living bone, opening new avenues for discovery in musculoskeletal biology.</p>