Several quasi-ordered arrays and three two-dimensional crystal forms of annexin VT were obtained on artificial lipid monolayers. Three-dimensional reconstructions of the crystal forms exhibit marked differences in the orientations of the two lobes, revealing flexibility of the linker between the two lobes of annexin VI. Evidence is presented that the lobes may bind the monolayer in a parallel orientation, or an antiparallel orientation, in which the second lobe is turned away from the monolayer It is hypothesized that annexin VI may also adopt several conformations in vivo, underlying different functional roles.