ABCG2 (ATP Binding Cassette Subfamily G Member 2), also known as BCRP (Breast Cancer Resistance Protein), CD338, and MXR (Mitoxantrone Resistance Protein), is an ATP-binding cassette (ABC) transporter that functions as an efflux pump for xenobiotics and endogenous molecules. It is highly expressed in placental tissue, with lower levels in the small intestine, liver, colon, and blood-brain barrier. Pathologically, ABCG2 is a major mediator of multidrug resistance (MDR) in various cancers, including breast, ovarian, and lung cancer, by actively exporting chemotherapeutic agents such as mitoxantrone, doxorubicin, and topotecan. It also plays a role in physiological processes like urate excretion and porphyrin homeostasis. Drug development efforts have focused on overcoming MDR through ABCG2 inhibition; while many inhibitors have been identified, none have received clinical approval. Recent advances include dynamic inhibitors (e.g., PZ-39) that induce ABCG2 degradation via lysosomal targeting, representing a novel class of targeted protein degradation (TPD) agents for membrane proteins. Other strategies involve targeting upstream regulators like p38 to disrupt ABCG2 oligomerization and function.