2Bacteria adhere to surfaces by virtue of their interaction forces with a substratum surface. A few decades ago, a paper on bacterial adhesion to surfaces typically would either commence with the statement (15) "bacterial adhesion to surfaces is mediated by highly specific, stereo-chemical interactions between complementary components on the interacting surfaces" or (16, 24) "bacterial adhesion is mediated by a complicated interplay between attractive Lifshitz-Van der Waals forces and repulsive or attractive electrostatic and acid-base forces, originating from the interacting surfaces." Generally, the "specific" approach was favored by microbiologists and biochemists, while physico-chemists usually took a "nonspecific" approach.The two approaches were reconciled with each other (7, 8) by the realization that both interactions originate from the same, fundamental physico-chemical forces (Lifshitz-Van der Waals, electrostatic, and acid-base interaction) (37). Nonspecific, Lifshitz-Van der Waals interactions operate over longer distances (several tens of nanometers) and originate from all atoms in the interacting entities. The summation of the relatively weak pairwise interactions between all atoms in an adhering bacterium and a substratum yields the final interaction force, similar to the origin of the gravitational force of the earth. Specific interactions, making up for molecular recognition between ligand and receptor molecules, operate over spatially well-confined stereochemical regions, established for instance by interactions between acid, electron-accepting and basic, electron-donating groups or oppositely charged domains, at close approach (up to several nanometers).Characterization of the bacterial cell and substratum surfaces in terms of their zeta potentials and surface free energies (from measured contact angles with liquids) offers the possibility to calculate the electrostatic and Lifshitz-Van der Waals contributions to the interaction force between two entities in an approach called the DLVO (Derjaguin, Landau, Verwey, and Overbeek) theory (5, 16). In the so-called "extended DLVO" theory (38), acid-base interaction forces are accounted for in addition to Lifshitz-Van der Waals and electrostatic forces. Application of physico-chemical theories toward explaining bacterial adhesion to surfaces has not always been successful, not even adhesion to inert (nonbiological) surfaces. After evaluating over 250 references, Bos et al. (5) concluded that the only general conclusion to be drawn was that negatively charged bacteria adhere more rapidly to a positively charged than to a negatively charged substratum surface.