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Although Ti-6Al-4V has been widely used in biomaterial field. Compared with other classes of materials, it still encounters some problems such as low surface hardness and relative low biocompatibility. To solve these problems friction stir processing (FSP) was applied to fabricate a nanosized composite layer of TiO2 and Ti-6Al-4V. Uniform distribution of TiO2 particles with some clusters on the surface of alloy can be observed. Due to severe plastic deformation and stirring heat, nanocrystallines and amorphous TiO2 can be observed in stir zone. FSPed samples show significant improvement in surface microhardness and biocompatibility due to its modified structure compared with original sample. In addition, through corrosion behaviors of the samples in simulated body fluid, it is found that FSP can enhance whilst TiO2 reduces the possibility and corrosion rate of material in environment of human body.