Abstract: As compared to both injectable and oral delivery, the buccal delivery is preferred to and advantageous for enhancement of bioavailability of drug. The mucosal surfaces are usually rich in blood supply and provide the means for rapid drug transport to the systemic circulation avoiding drug degradation in harsh gastric environment and first-pass hepatic metabolism. Besides, it can prolong absorption and residence time due to prolonged contact with absorption surface and with the site of application allowing once or twice daily dosing. A rapid onset of action with comfort and convenience in delivery of certain drugs has been observed. Many drugs have been tried with buccal route, a few are also available commercially. Clinical need should be significant and must be high enough to counterbalance the high cost associated with development of a buccal product. Buccal drug delivery assures four times the absorption rate from the skin. The review aims the development in the buccal adhesive drug delivery systems to provide basic principles to the young researchers which will be helpful in overcoming the difficulties associated with the formulation design.