The Eighteenth Annual Symposium of the Laboratory or Surface Modification was held on Thursday, February 26, 2004, at the Fiber Optics Auditorium on the Busch Campus. In addition to oral presentations by Professors Yves Chabal (Director of LSM and Professor of Biomedical Engineering and Chemistry) and Kathyrn Uhrich (Biomedical Engineering Graduate Program), poster presentations were also given by BME graduate students, Tim Maguire and Melissa Stickle.