text: Electrode fouling is a major hindrance on the performance of electrodes. Few materials are completely bioinert, as in they trigger no bodily reaction. Some material that may be bioinert in theory fails to be ideal in practice because of defects in their formation, processing, manufacturing or sterilization. Fouling can be caused by adsorption of proteins, fibrous tissue, trapped cells or dead cell fragments, bacteria, or any other reactive particle. Protein adsorption is influenced by the nature and geometry of domains including hydrophobicity, polar and ionic interactions of the material and surrounding particles, charge distribution, kinetic movement, and pH. Phagocytosis of bacteria and other particles is mainly affected by surface charge, hydrophobicity, and chemical composition of the implant. It is important to note that the initial environment the implant is subjected to after implantation is different and unique compared to the environment after some time has passed since the area will undergo wound repair; the body's natural healing of the trauma will cause changes in local pH, electrolyte concentrations, and the presence and activity of biological compounds.