Cell surface proteins of bacterial pathogens play key roles in invasion and virulence. Colonization of the host requires adhesion of the bacterium to host tissues, so some surface proteins bind to proteins in the extracellular matrix or directly to host cells. Others bind to plasminogen, which, when converted to the active protease plasmin, aids in degradation and invasion of host tissues. Surprisingly, a growing number of the cell surface proteins that bind to host cells, extracellular matrix, or plasminogen were previously identified as intracellular enzymes or chaperones, and we refer to them as intracellular/surface moonlighting proteins. Moonlighting proteins are a subset of multifunctional proteins in which multiple biochemical or biophysical functions in one polypeptide chain are not due to gene fusions, families of homologous proteins, promiscuous enzyme activity or pleiotropic effects.It is not known how most intracellular/cell surface moonlighting proteins are secreted. These proteins do not possess signal peptides for secretion by the canonical Sec pathway. Their secretion may involve a novel version of another known secretion pathway or it may involve an as yet unknown secretion pathway. In addition, they do not contain sequence motifs known to be involved in attachment to the cell surface. This could also involve a new version of a known mechanism or it may involve an as yet unknown mechanism. With the increasing problem of antibiotic resistance, new targets for inhibiting bacterial infection and virulence are needed. Understanding how intracellular/cell surface moonlighting proteins are targeted to the surface of a pathogen might lead to a method to decrease the ability of bacteria to bind to and degrade host tissues and could provide new targets for developing therapeutics to treat infections.