This study characterizes the molecular surface structures of polyurethane (PU) and plasticized PU films in air, in water, and in albumin solution in situ using a nonlinear optical technique, sum frequency generation (SFG) vibrational spectroscopy. Two different plasticizers are investigated: dioctyl sebacate (DOS) and o-nitrophenyl octyl ether (NPOE). Plasticization of PU is common for biosensors to achieve better adhesion, malleability, elasticity, and permeability; however, this can adversely affect biocompatibility. Our research indicates that plasticizers can segregate to the PU surface not only in air but also in water. In addition, plasticizer content can affect protein adsorption behaviors of PU surfaces. This is the first time surface-sensitive SFG has been applied to deduce plasticizer surface behavior in situ. More specifically, we found that DOS dominates the surface of the film with DOS surface concentrations higher than DOS bulk concentrations both in air and in contact with an aqueous environment. NPOE has a reduced effect at the surface compared to DOS in both air and aqueous environments. Addition of either DOS or NPOE to PU was also found to cause a change in albumin adsorption.