Bioceramic hydroxyapatite/sodium titanate coating on sandblasted titanium substrate was fabricated by a three-step process. At first, the sandblasted titanium substrate was coated with a flake-like sodium titanate layer by alkali-heat treatment. In the second step, the alkali-heat treated titanium substrate was hydrothermal treated at 180 degrees C for 4 h with calcium solutions. In the third step, the hydroxyapatite (HA) coating was deposited onto the hydrothermal treated layer via electrochemical deposition method. The surface topography and roughness of the coatings were determined by field emission scanning electron microscope (FESEM) and a mechanical contact profilometer, respectively. The surface compositions were evaluated by X-ray diffraction (XRD), energy-dispersive X-ray spectrum (EDS), and X-ray photoelectron spectroscopy (XPS). The EDS, XPS, and XRD analysis confirm the presence of element Ca, Ca2+, and CaTiO3 on sodium titanate layer after hydrothermal treatment with Ca(NO3)(2) solution, respectively. FESEM micrograph shows the rod/needle-shaped crystallites are highly densely packed on the calcium-ion-containing layer with an average size of similar to 50 nm in diameter. The results indicate that the sodium titanate layer containing Ca2+ ions possesses higher ability to induce HA formation compared with the pure sodium titanate layer. It is revealed that surface composition plays an important role in the electrochemical deposition of HA. The calcium-ion-containing layer probably makes the nucleation of HA easy and effectively promotes orientated growth of HA on flake-like sodium titanate surface. The sodium titanate layer possesses a lower corrosion current density and a higher corrosion potential than sandblasted-Ti substrate. The sodium titanate layer should act as a barrier to the release of metal ions from metallic substrate to physiological solutions and thus reducing the electrochemical reaction rate.