Corona, flame, atmospheric plasma, and liquid flame spray (LFS) techniques were used to create highly hydrophilic surfaces for pigment-coated paper and board and machine-glossed paper. All the surface modification techniques were performed continuously in ambient atmosphere. The physical changes on the surfaces were characterized by field emission gun-scanning electron microscopy (FEG-SEM), atomic force microscopy and Parker Print-Surf surface roughness. The chemical changes were analysed by X-ray photoelectron spectroscopy. The superhydrophilic surfaces, i.e. contact angle of water (CAW) <10 degrees, were created mainly by modifying the surface chemistry of the paper and board by argon plasma or SiO2 coating. The nano- and microscale roughness existing on paper and board surfaces enabled the creation of the superhydrophilic surfaces. Furthermore, the benefits and limitations of the surface modification techniques are discussed and compared. For example, the SiO2 coating maintained its extreme hydrophilicity for at least six months, whereas the CAW of argon plasma-treated surface increased to about 20 degrees already in one day.