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Matthew's parents raised longhorn cattle and horses and grew barley for Coors beer. He entered the Deerfield Academy in Massachusetts for a post-grad year after high school, and then matriculated at Columbia University where he played football and majored in Economics with the intent to end up on Wall Street. However, his girl friend's mother was a modeling agent who convinced him to try some modeling which led to a couple of TV commercials. Soon after he was sold on acting.

At the age of 25, Fox made his debut on an episode of Wings. That same year, he also starred on a short-lived dramatic series, Freshman Dorm. Still not being a familiar face on the small screen, he continued receiving supporting roles, including the CBS Schoolbreak Special series, If I Die Before I Wake before he made his big screen debut in My Boyfriend's Back (1993).

In 1994, Fox was cast in a co-starring role as the eldest of the five siblings who lost both parents in a car accident on the critically-acclaimed 1990s teen drama, Party of Five, as Charlie Salinger, FOX's attempt at repeating the success of such successful serials such as: Beverly Hills 90210 and its spin-off, Melrose Place. In that very first season, Party connected to audiences and teenagers to form the television media. The network needed to deliver the compassion and care to Fox's character, Salinger, a man who was ripped apart with his family and felt the need to take care of his other siblings. During his tenure on Party, both he and co-star Wolf set many hearts aflutter, appearing on many teen magazines and posters. In 1996, People Magazine named Fox as one of the 50 Most Beautiful People in the World.

After Fox's Party came to an end after six long seasons, he starred in another TV series Haunted, in 2002, but the show didn't match the popularity of Party of Five, eight years after.

Since September 2004, Fox has been playing the role of the troubled and dedicated surgeon, Dr. Jack Shephard, on Lost. Reportedly, it was his idea to seek a role in the series as he was about to travel to Hawaii with several other cast members. He initially auditioned for the role of James "Sawyer" Ford. However, co-creator J.J. Abrams was so pleased with his reading of the Dr. Shephard character that Fox was cast in the lead role. Reportedly, he was permitted to read the entire top-secret pilot script. As the star of the series, he is also the highest-paid actor on the show. Fox was nominated for a Golden Globe, won the 2005 Satellite Award, and shared the 2006 Screen Actors Guild Award for Outstanding Performance by an Ensemble in a Drama Series, for his role in Lost. He will play Jack Shepherd for three more seasons of lost when the show will end in 2010.

On December 2, he hosted Saturday Night Live with musical guests Tenacious D. In the monologue for that episode, he talked about how he was never chosen to host SNL during his days on Party of Five and named off other popular TV show stars who never hosted SNL, including Seinfeld's Michael Richards (played by Bill Hader). The following week, he appeared in a digital short that was cut from his episode.

In 2006, Fox co-starred with Matthew McConaughey in the sports drama, We Are Marshall. He is also set to star in the 2008 thriller, Vantage Point and also played a bit part in the action film Smokin' Aces.

He has also been announced as being cast as Racer X, the rival of the title character in Speed Racer.

• Chosen by People (USA) magazine as one of the 50 most beautiful people in the world (1996)
• Graduated from Columbia University in 1989 with a degree in economics
• Daughter Kyle Fox (born in 1998) and son Byron Fox (born in 2001)
• Matthew studied acting for two years at The School for Film and Television in New York City.
• He frequently hosts parties at his house where the whole cast of "Lost" (2004) gathers to watch the last episode they had filmed.
• He was raised in Crowheart, Wyoming on the family ranch.
• He has been horseback riding since he was six years old.
• Attended Wind River high school and did post-graduate high school study at Deerfield Academy in Massachusetts.
• Is good friends with Green Day's Billie Joe Armstrong.
• Is a Philadelphia Eagles fan.
• He is the tallest principal cast member of "Lost" (2004) at just over 6ft 2in. Terry O'Quinn, Josh Holloway and Adewale Akinnuoye-Agbaje are just slightly shorter.
• Is a member of Phi Gamma Delta fraternity
• In an interview, he stated that music is a major part of his life, citing Arcade Fire, Sigur Rós, John Harold Arnold Bramwell, Modest Mouse and Texan band "The Black Angels" as some of his favourite bands. He's also a fan of punk.
• Graduated from New York's prestigious Atlantic Theater Company where fellow "Lost" (2004) co-star Kimberley Joseph, who played flirtatious flight attendant Cindy, was also a graduate.
• Announced during a recent appearance on daytime talk show "Ellen: The Ellen DeGeneres Show" (2003) that he intends to quit smoking as a resolution for 2007.

"It's sort of a show about the human species, not a show about anybody from any particular country or any nationality or any religious background." - on why he thinks "Lost" (2004) is internationally successful. "What we as a cast went through that first season mirrored what you saw on screen: people with no preexisting history, thrown together on an island; becoming a tight-knit bunch in the course of trying to make sense of this weird world. Then, to have these other characters come in - it's added an interesting new energy both to the show and our experience." - on "Lost" (2004).