Ligands can be attached to liposomes through ligation to create ligand-targeted liposomes in a variety of ways. Liposomes have a lipid outer layer that can be used to bind ligands. Conjugation of the ligand to the surface of a liposome can be achieved through multiple routes. Covalent binding is a prominent way due to the anchoring between the long-chain fatty acids and the ligand. Combinations of covalent binding through disulfide linkages, heating, and hydrophobic interactions can be used depending on the properties of the liposome and ligand. Adsorption and membrane fusion are non-covalent methods for the attachment of monoclonal antibodies. Chemical linkages such as covalent bonds are more effective at increasing the amount of attached ligand to the carrier as opposed to non-covalent methods. During chemical coupling for manufacturing, it is crucial that ligands maintain their integrity when attached to the liposome surface. If ligands, such as antibodies, do not maintain binding specificity, proper orientation, and coupling efficiency the liposome will not be effective.