Inefficient CO 2 removal due to limited diffusion represents a significant barrier in the development of artificial lungs and respiratory assist devices, which use hollow fiber membranes as the blood-gas interface and can require large blood-contacting membrane area. To offset the underlying diffusional challenge, "bioactive" hollow fiber membranes that facilitate CO 2 diffusion were prepared via covalent immobilization of carbonic anhydrase, an enzyme which catalyzes the conversion of bicarbonate in blood to CO 2 , onto the surface of plasma-modified conventional hollow fiber membranes. This study examines the impact of enzyme attachment on the diffusional properties and the rate of CO 2 removal of the bioactive membranes. Plasma deposition of surface reactive hydroxyls, to which carbonic anhydrase could be attached, did not change gas permeance of the hollow fiber membranes or generate membrane defects, as determined by scanning electron microscopy, when low plasma discharge power and short exposure times were employed. Cyanogen bromide activation of the surface hydroxyls and subsequent modification with carbonic anhydrase resulted in near monolayer enzyme coverage (88 %) on the membrane. The effect of increased plasma discharge power and exposure time on enzyme loading was negligible while gas permeance studies showed enzyme attachment did not impede CO 2 or O 2 diffusion. Furthermore, when employed in a model respiratory assist device, the bioactive membranes improved CO 2 removal rates by as much as 75 % from physiological bicarbonate solutions with no enzyme leaching. These results demonstrate the potential of bioactive hollow fiber membranes with immobilized carbonic anhydrase to enhance CO 2 exchange in respiratory devices.