Mycolactone is a lipid-like endotoxin synthesized by an environmental human pathogen, Mycobacterium ulcerans, the causal agent of Buruli ulcer disease. Mycolactone has pleiotropic effects on fundamental cellular processes (cell adhesion, cell death and inflammation). Various cellular targets of mycolactone have been identified and a literature survey revealed that most of these targets are membrane receptors residing in ordered plasma membrane nanodomains, within which their functionalities can be modulated. We investigated the capacity of mycolactone to interact with membranes, to evaluate its effects on membrane lipid organization following its diffusion across the cell membrane. We used Langmuir monolayers as a cell membrane model. Experiments were carried out with a lipid composition chosen to be as similar as possible to that of the plasma membrane. Mycolactone, which has surfactant properties, with an apparent saturation concentration of 1 μM, interacted with the membrane at very low concentrations (60 nM). The interaction of mycolactone with the membrane was mediated by the presence of cholesterol and, like detergents, mycolactone reshaped the membrane. In its monomeric form, this toxin modifies lipid segregation in the monolayer, strongly affecting the formation of ordered microdomains. These findings suggest that mycolactone disturbs lipid organization in the biological membranes it crosses, with potential effects on cell functions and signaling pathways. Microdomain remodeling may therefore underlie molecular events, accounting for the ability of mycolactone to attack multiple targets and providing new insight into a single unifying mechanism underlying the pleiotropic effects of this molecule. This membrane remodeling may act in synergy with the other known effects of mycolactone on its intracellular targets, potentiating these effects. Buruli ulcer is a necrotizing skin disease caused by an environmental mycobacterial pathogen. The pathogenesis of this neglected tropical disease involves the production of a toxin, mycolactone, which spreads through the tissues, away from the infecting organisms. Mycolactone has pleiotropic effects on fundamental cellular processes, resulting in pronounced cytotoxicity and immunosuppressive effects that together drive progressive ulceration. The molecular mechanisms underlying its cellular effects have been partly deciphered, but multiple cellular targets have been identified. A literature survey revealed that most of the identified targets of mycolactone are membrane receptors residing in particular domains of the plasma membrane. Despite its lipid-like nature, mycolactone has been shown to be intracellular, implying that it can cross the plasma membrane. We describe here a surprising membrane-reshaping effect of mycolactone due to effects on lipid domain formation. By reversing lateral lipid segregation, mycolactone may disrupt the formation of domains with well-established roles in the regulation of cellular signaling pathways. This remodeling of the cell plasma membrane may underlie the molecular events enabling mycolactone to attack multiple targets.