This short review focuses on fouling by proteins and macromolecules in microfiltration/ultrafiltration. First, an experimental system that enables investigation of how the extent of the adsorption of proteins and macromolecules on membrane surfaces contributes to a decrease in filtrate flux in microfiltration/ultrafiltration is described. Using this system, a causal relationship - not a correlation - indicating that adsorption results in a decrease in filtrate flux could be clearly demonstrated in some cases. Second, a hydration structure at the membrane surface that can suppress adsorption is discussed, inspired by biomaterial research. In their hydrated states, polymers with low-fouling properties have water molecules with a particular structure. Finally, some successful examples of the development of low-fouling membranes via surface modification using low-fouling polymers are discussed.