Cells must reliably coordinate responses to noisy external stimuli for proper functionality whether deciding where to move or initiate a response to threats. In this talk I will present a perspective on such cellular decision making problems with extreme statistics. The central premise is that when a single stochastic process exhibits large variability (unreliable), the extrema of multiple processes has a remarkably tight distribution (reliable). In this talk I will present some background on extreme statistics followed by two applications. The first regards antigen discrimination – the recognition by the T cell receptor of foreign antigen. The second concerns directional sensing – the process in which cells acquire a direction to move towards a target. In both cases, we find that extreme statistics explains how cells can make accurate and rapid decisions, and importantly, before any steady state is reached.