Transistor orientation matters a lot in analog layout because it affects matching. For example, when we design a current mirror, if one transistor is rotated differently from the other, their stress, well proximity effect, or even variation in diffusion can change. This will cause mismatch, and the mirror won’t give accurate current. So, to keep symmetry and matching, I always try to keep the same orientation for transistors.
I feel orientation is important mainly because of routing convenience. If you keep all transistors in the same orientation, sometimes the wires get too congested. In that case, I rotate some devices so that routing becomes shorter and cleaner. For example, in an op-amp layout, if the differential pair is aligned one way, I may rotate the load devices to make the metal connection easier. So, orientation is a balance between matching and routing simplicity.
Orientation matters because of the manufacturing effects like lithography and stress. Even if you place two identical transistors, if one is north-south and the other is east-west, their electrical behavior can slightly change. This can create offset voltage in sensitive circuits like comparators. For example, I faced this in a latch design, where mismatched orientation caused extra offset. Since then, I always keep critical transistors in the same direction.
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