Throughout the history of medical knowledge, either defined by written text or interpreted in archeological discovery, humans have engendered deep respect for disease and the assurance that declining health will lead to death. Recognizing termination is arguably the first step in seeking strategies to prolong life, and the first pause is likely “why.” Along the 5000-year timeline of historical interpretation, ancient civilizations leaned into the convections of spirits as causal to the explicit infliction, assigning the humors, spirits, gods, curses, etc. as the root of the illness. As information evolved, the focal point of understanding cause probably emerged with what we might call “Hippocratic medicine,” which is essentially the belief that medicine should be practiced as a scientific discipline based on the natural sciences, and that diagnosing and preventing diseases as well as treating them can be tied to seeking remedy and restitution of health, youth, and at some level immortality. Extended immortality is a paradox that belies the assurance that life in a single consciousness will end. From contemporary literature, both scientific and lay readers have been exposed to contexts of modern biology where extensions of life beyond that consciousness are now commonly accepted (Skloot, 2010 [1] ). HeLa cells were vital for developing the polio vaccine; uncovered secrets of cancer and viruses; helped lead to in vitro fertilization, cloning, and gene mapping; and have been bought and sold by the billions, yet Henrietta Lacks has been buried for more than 60 years. Do these cells in themselves offer a constancy of immortality? The argument of passing genetic information forward in cell division is clearly a regenerative event, but what level of transfer is necessary for regenerative repair that does not dilute the individual being treated. Examples of blood transfusion, organ transplant, and integration of stem cells are now everyday occurrences. These examples raise a question that currently defies scientific explanation: does chimerism at the organ level, tissue level, or even the cell level bestow varying and inextricable states of awareness, being, and consciousness? In that context, what contribution of genetic exchange is sufficient to constitute hybrid viability…a single base pair, two, five, ten, and how much RNA or DNA is necessary to qualify as a regenerative event? Technology has advanced to what many have accepted as the nanofrontier, and the conversations of nanomedicine abound. From nanodiagnostics through nanocomposites, therapeutic initiatives have sought to identify and resolve assets of understanding that may underpin new techniques of regeneration. As technology advances and perception emerges, defining packaged genetic material in membrane-shrouded entities known as exosomes, what once was considered cell biology may evolve in a subcellular specialization of extracellular phenotypic enrichment. Evidence already exists that exosomes are readily exchanged between cells, and that receipt of these packages endows new constitution and performance. Defining RNA in the context of exosomes couples another level of nanoconsideration; its 0.34 nm per base pair and 10 base pairs per turn qualifies in size if not in function. A possibility to utilize RNA as a vector seems certain. Nature adapted this strategy billions of years ago as an option to decrease cell energy demands, and it remains today as a means of lateral transfer of genetic material without cell division, essentially a component of paracrine activity widely discussed but still not completely understood. Application diversity is pervasive, as applications for gain of function include intervertebral disc and pancreas exocrine systems among others. Use of exosome fractions as an adjuvant to immuno-oncology is similarly caught in this tailwind of discovery. The accent of immortality, specifically which cell lineages might best comport a spectral potential providing a meaningful library of staged development; i.e., cells that accommodate organ coalescence based on exosome expression during morphogenesis rather than propagation of differentiated lineages that the proverbial choir singing in unison are momentarily reflected on. Embryonic cells (EMCs) are politically charged but of course support sufficient pluripotency to populate each and all of the germ layers. However, if one is not seeking the slalom of political flags as the main event of research, other options are available. In contrast to EMCs, most stem cells that have been well characterized are multipotent and can be induced to differentiate into derivatives of two of the three germ layers under appropriate conditions. It is critical to accept the three basic properties that have been ascribed to stem cells. First, self-renewal; stem cells divide to produce identical daughter cells and thereby maintain the stem cell population. Second, stem cells are able to divide asymmetrically to yield an identical cell and a daughter cell that acquires specific morphology, phenotype, and physiological properties that categorize it as a cell belonging to a particular tissue. The third property of stem cells is that they may renew the tissues that they populate. While the trumpets have resounded the age of stem cells, there is growing support that phenotypic expression can occur via lateral genetic transfer in secretion in the form of liposomal inclusions, membrane inclusions, and exosome infusion. This chapter explores umbilical cord stem cells, or cord blood, and addresses potential for modulation in directing durable phenotypic derivatives for regenerative applications.