The fabrication of hydrogen-selective microelectrodes on silicon needle-shaped substrates is described. The microelectrodes are based on an ion-selective poly(vinyl chloride) (PVC) membrane with an intrinsically conducting polymer (polypyrrole (PPy)) solid contact layer. The polypyrrole is prepared with the dopant anion cobaltbis(dicarbollide) [3,3′-Co(1,2-C 2B 9H 11) 2] −, which gives a high stability to the polymer layer. The performance of the resulting solid-contact ion-selective microelectrodes (SCISME) is investigated by using potentiometric measurement and electrochemical impedance spectrometry. The feasibility of the fabrication technology is demonstrated and the devices operate satisfactorily, with a response showing good sensitivity and selectivity against common interfering cations in background solutions. The SCISME has been developed for organ monitoring during cardiac surgery or during transportation for transplants.