TMEM177 is a mitochondrial inner membrane protein that participates in cytochrome c oxidase (complex IV) biogenesis by acting within the COX20 chaperone network (PMID:29154948). It physically associates with COX20 and, in a COX20-dependent manner, with newly synthesized COX2 and the metallochaperone SCO2, promoting CuA-site formation on COX2 during complex IV assembly; loss or overexpression of TMEM177 reciprocally alters COX20 abundance, identifying it as a stabilizer of COX20 (PMID:29154948). In vivo, TMEM177 fine-tunes rather than gates this process: knockout mice show moderately reduced COX20 but intact OXPHOS complexes, and Tmem177/Surf1 double-knockout mice are born asymptomatic, indicating TMEM177 is not essential for complex IV integrity; TMEM177 also associates with mitochondrial ribosomes (PMID:41253195). Functionally, depletion of TMEM177 disrupts mitochondrial membrane potential and lowers OXPHOS activity, and its expression is silenced by E2/ERα-driven promoter hypermethylation that is reversible with a demethylating agent (PMID:41597199).