Biomaterials are widely used in many kinds of medical devices. The biomaterials used can be metal, polymer, ceramic or composites. Bioadhesion will be occured when the medical device contact to biological surface. There are many conditions where bioadhesion is beneficial and vice versa. The implantation of medical devices in the human body is not without risk. It is reported that implantable medical devices are an ideal interface for microorganisms. There are infections caused mainly by bacteria originating in the body. Some aspects influence bioadhesion of implantable medical devices including surface topography, chemical interaction, mechanical interaction and physiological interactions are discussed. The understanding of such aspects hopefully governs medical practitioners in controlling the medical devices bioadhesion process, then optimizing the desirable bioadhesion and removing the undesirable interactions. To complete the discussion on bioadhesion of biomaterials, it is also described some methods of bioadhesion testing including surface roughness measurement, contact angle measurement, surface topography evaluation and biofilm formation testing. At last, a perspective related to biomaterials used as medical devices is presented.