The quartz crystal microbalance was employed to study the adsorption behavior of bilirubin on human-albumin layer, which was chemically bound to the self-assembled monolayer of 4-aminothiophenol on the surface of a gold electrode of the crystal via glutaraldehyde. A long-time adsorption process of bilirubin that took place on a human-albumin-modified surface was observed, and the adsorption kinetic parameters were estimated from the in situ frequency measurements. The amount of adsorbed bilirubin increased with increasing of both hydrogen ions and bilirubin concentration and was larger than that estimated based on the conclusion that there are two affinity sites for bilirubin per albumin molecule. With the present method, the displacement of bilirubin from an albumin layer caused by aspirin was also examined. QCM measurement provides a facile method for in situ monitoring of the adsorption/desorption of bilirubin on proteins layers.