An improved polymer orthopedic implant and a method for making the same, where a portion of the implant for engagement with a patient's bone has a rough texture for encouraging micro-ingrowth between the bone and the implant. Substantially all remaining non-bone engaging portions of the implant are smooth for discouraging tissue ingrowth with the implant. The non-bone engaging portions of the implant are polished smooth, and are preferably transparent or translucent. The implant may be comprised of a slow reacting polymethylmethacrylate acrylic.