The objective of this work was to incorporate cytoadhesive properties into poly(methylmethacrylate) (PMMA) for potential applications in highly localized tissue-specific drug delivery. First, the PMMA was chemically modified by aminolysis to yield amine-terminated surfaces. X-ray photoelectron microscopy confirmed the presence of surface nitrogen entities, and the distribution of amine groups was found to be relatively uniform, as characterized by atomic force microscopy. The availability of these groups for attachment of biologically active molecules was characterized by fluorescence microscopy after immobilization of avidin-FITC. To render the PMMA cytoadhesive, avidin molecules were conjugated to the amine-terminated surfaces with a hydroxy-succinimide-catalyzed carbodiimide reagent and biotin-labeled lectins (tomato, which binds selectively to Caco-2 cells, and peanut, an unrelated lectin) subsequently were attached utilizing avidin-biotin chemistry. Cytoadhesive activity was evaluated by characterizing the interactions between microfabricated PMMA particles and Caco-2 monolayers. After 15-, 30-, 60-, and 120-min incubation periods, the tomato lectin-conjugated PMMA showed a two to sixfold increase in Caco-2 cell recognition over control particles. Furthermore, the stability of the cytoadhesive PMMA interactions appeared to be three to seven times greater than that of the control surfaces. These findings demonstrate that cytoadhesive properties of modified PMMA, making this novel bioactive polymer very promising for applications in targeted drug delivery.