The structural biology of the insulin - insulin receptor interaction has until very recently1 proved to be elusive. Here, we describe the changes that occur in both the hormone and the receptor upon insulin engaging its primary binding site on the receptor surface. In particular, we show that the hormone's B-chain C-terminal strand undergoes a hinge-like conformational change upon receptor engagement. In addition, we present data that suggest that this conformational change is integrally involved in protecting the hormone from inappropriate aggregation during its conformational life-cycle.