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Suffix · forms nouns

-osis

From Greek "-osis" (process, condition): indicates a disease, pathological state or biological process. Fibrosis, psychosis, metamorphosis.

In Spanish: -osis / -sisScientific

Written by Bryan López, English teacher · Updated June 2026

What this suffix does

The suffix -osis names two types of thing: 1. A disease or chronic/degenerative pathological state: fibrosis (build-up of fibrous tissue), cirrhosis (hardening of the liver), tuberculosis, psychosis (severe mental disorder), neurosis. 2. A biological process or transformation: metamorphosis, symbiosis (mutually beneficial relationship), diagnosis (process of identifying a disease), osmosis (passage of liquid through a membrane). Spanish: fibrosis, psicosis, neurosis, metamorfosis, simbiosis — almost always identical.

Key difference from -itis

Two medical suffixes that are easy to confuse: -itis = inflammation (acute, usually with clear immediate symptoms): appendicitis, meningitis, bronchitis. -osis = chronic or degenerative process/condition (not necessarily inflammation): fibrosis (tissue build-up), cirrhosis (hardening), arthrosis (degenerative joint wear without active inflammation). Example: arthritis (inflammation of a joint) vs arthrosis (degenerative wear of a joint without active inflammation). Modern medical English tends to use "osteoarthritis" for both.

Diagnosis and osmosis: the two most everyday uses

"Diagnosis" is probably the most widely used -osis word outside specialist medicine: "What's the diagnosis?" → common in everyday speech. Plural: diagnoses /daɪəɡˈnəʊsiːz/. "Osmosis" has a literal meaning (biology: water passing through a semi-permeable membrane) and a very common figurative use: "I picked it up by osmosis" = I absorbed it gradually without conscious effort. This figurative use is extremely frequent in everyday English.

How it is formed

Root (tissue, process or condition) + osis.

  • tissue or organ + osis (disease/degeneration)fibr (fibre) = fibrosis · cirrh (yellow/hard) = cirrhosis · arthr (joint) = arthrosis · nephr (kidney) = nephrosis
  • bacterium or agent + osis (infection)tubercul = tuberculosis · salmonel = salmonellosis · candid = candidiasis
  • process + osis (biological transformation)metamorph = metamorphosis · symbi = symbiosis · osm = osmosis · psych = psychosis

Plurals of -osis words: always change to -oses. diagnosis → diagnoses, neurosis → neuroses, metamorphosis → metamorphoses, psychosis → psychoses. This Greek plural rule is important — never say "diagnosises".

How it is pronounced

-osis/əʊsɪs/ · sounds like 'OH-sis'

Tap the button to hear how the ending sounds. Each word in the table has its own audio.

Examples

Base word
With -osis
In a phrase
  • fibr (fibre)fibrosisChildren born with cystic fibrosis require daily therapy to keep their lungs clear.
  • cirrh (hard)cirrhosisYears of heavy drinking eventually led to cirrhosis, which damaged his liver severely.
  • tubercultuberculosisTuberculosis was once one of the deadliest diseases in the world.
  • psych (mind)psychosisDuring a psychosis episode, a person may lose touch with reality completely.
  • neur (nerve)neurosisHis constant worry about small mistakes suggested a mild but persistent neurosis.
  • metamorphmetamorphosisThe caterpillar undergoes a remarkable metamorphosis before emerging as a butterfly.
  • symbi (together)symbiosisThe relationship between bees and flowers is a perfect example of symbiosis.
  • dia + gnosisdiagnosisAn early diagnosis gave her the best possible chance of a full recovery.
  • osm (push)osmosisShe picked up Spanish by osmosis after living in Madrid for two years.
  • scoli (curved)scoliosisHer scoliosis was detected early, so the doctor recommended a back brace.

Common mistakes

confusing -osis and -itis
-osis = chronic/degenerative process; -itis = inflammation

arthrosis = degenerative joint wear (no inflammation). arthritis = active joint inflammation (heat, acute pain, swelling). -itis implies an active inflammatory response; -osis implies a chronic or degenerative process.

"diagnosises / metamorphosises"
diagnoses / metamorphoses

-osis words form their plural by changing -osis → -oses: diagnosis → diagnoses, neurosis → neuroses, metamorphosis → metamorphoses. Never add -es directly.

"osmosis" only in biology
"osmosis" also very common figuratively

"I picked it up by osmosis" = absorbed it gradually without conscious effort. This figurative use is extremely common in everyday and workplace English.

A trick to remember it

-osis = biological process or chronic pathological condition. Medical: fibrosis, cirrhosis, tuberculosis, psychosis. Biological: metamorphosis, symbiosis, osmosis. Plural always -oses: diagnosis → diagnoses. Difference from -itis: -osis is chronic/degenerative, -itis is inflammation.

Practise what you learned

Exercise 1 · Form the word

The process by which a caterpillar becomes a butterfly: metamorph___

Hint: metamorph + osis = ?

Exercise 2 · Pick the right one

What is the plural of "diagnosis"?

Exercise 3 · Pick the right one

"I learned it by osmosis" means...

Frequently asked questions

What does the suffix -osis mean in English?

The suffix -osis from Greek "-osis" (process, condition): indicates a disease, pathological state or biological process. Fibrosis, psychosis, metamorphosis. In Spanish it usually maps to -osis / -sis.

How do you pronounce -osis?

The ending -osis is pronounced /əʊsɪs/ · sounds like 'OH-sis'. For example, "fibrosis".

Can you give an example of a word with -osis?

"fibr (fibre)" becomes "fibrosis". It is a typical example of the -osis suffix.

Other useful suffixes

  • -itis

    Indicates inflammation of an organ or body part: arthr + itis = arthritis.

  • -lysis

    From Greek "lysis" (loosening, dissolving): indicates decomposition, separation or dissolution. Analysis, dialysis.

  • -pathy

    From Greek "pathos" (feeling, suffering): indicates a deep emotion or a disease. Empathy, neuropathy.

Learn every English suffix

-tion, -ness, -ful, -ly, -able... every ending you need to understand thousands of words at once.

View all suffixes
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