Serum bilirubin concentration is greatly elevated in certain diseases such as hyperbilirubinemia and severe hepatitis. Lowering the level of bilirubin is one of the major targets of many therapies such as plasma exchange and hemoperfusion. In this study, a bilirubin specific adsorbent was prepared by covalently immobilizing bovine serum albumin (BSA) onto macroporous poly (glycidyl methacrylate-co-trimethylolpropane trimethacrylate) microspheres. The resulting BSA immobilized adsorbent (BIA) demonstrated good performance in adsorption of bilirubin with an adsorption capacity of 48.7 mg/g. Presence of BSA in bilirubin solution significantly lowered the adsorption capacity of the adsorbent due to the tight binding of bilirubin onto BSA. Adsorption performance of the adsorbent for bilirubin was improved with the elevation of temperature. The adsorbent demonstrated good stability even after 31 d of storage at - 80 degrees C in that there was almost no change in adsorption capacity for bilirubin. These results indicated that the prepared BSA immobilized adsorbent could be an alternative choice for specific adsorption of bilirubin.