Crosslinked polymer compositions comprise a first synthetic polymer
containing multiple nucleophilic groups covalently bound to a second
synthetic polymer containing multiple electrophilic groups. The first
synthetic polymer is preferably a synthetic polypeptide or a polyethylene
glycol that has been modified to contain multiple nucleophilic groups,
such as primary amino (--NH.sub.2)or thiol (--SH) groups. The second
synthetic polymer may be a hydrophilic or hydrophobic synthetic polymer
which contains, or has been derivatized to contain, two or more
electrophilic groups, such as succinimidyl groups. The compositions may
further comprise other components, such as naturally occurring
polysaccharides or proteins (such as glycosaminoglycans or collagen)
and/or biologically active agents. Also disclosed are methods for using
the crosslinked polymmer compositions to effect adhesion between a first
surface and a second surface; to effect tissue augmentation; to prevent
the formation of surgical adhesions; and to coat a surface of a synthetic
implant.