SCF has undertaken a work item to explore the unexpected, yet significant, intersections between small cells (SCs) and small cell networks (SCNs) and non-terrestrial networks (NTNs), particularly satellite networks. The report explores how proven small cell design principles and open interfaces can help the ecosystem overcome some of the challenges facing emerging 5G Non-Terrestrial Networks (NTNs), particularly regenerative LEO satellite systems. As these architectures move toward commercial relevance, the study sets out where terrestrial small cell experience can reduce complexity, improve interoperability and support efficient 5G NTN solutions.