Exchange surfaces are surfaces that are adapted to maximise the efficiency of gas and solute (a substance dissolved in a liquid) exchange across them.
Large surface area
A large surface area allows more of a substance to diffuse at the same time.
Ventilation
In animals, if a gas is exchanged, the surface is ventilated (through breathing) to maintain a high concentration gradient and increase the rate of exchange.
Blood supply
Where substances are exchanged through blood in animals, exchange surfaces are densely packed with blood vessels:
These blood vessels replenish the blood supply to maintain a high concentration gradient by bringing in new blood as diffusion starts to even out the concentrations.