Addition of poly (oxyethylene)cholesteryl ether in the synthesis promoted the formation of the hydroxyapatite nanoparticles (HAp NPs) with the elliptical morphologies. The adsorption mechanism, interfacial interactions and conformation of the adsorbed fibrinogen (Fgn) on the HAp NP films were investigated. The Fgn adsorption behavior demonstrated the higher affinity of Fgn with the HAp NP films. At the lower temperature at 22 degrees C, Fgn was preferentially adsorbed on the gold though hydrophobic interactions with the larger Fgn adsorption amount. At the higher temperature at 37 degrees C or at the higher phosphate ion concentrations caused the structural changes of the adsorbed Fgn. Moreover, the temperature increment in PBS increased the Fgn adsorption amount with the rearrangement into the end-on orientation of the Fgn. Accordingly, HAp induced the electrostatic force and hydrogen bonding to be the stable Fgn-HAp NP film, minimizing the interactions among the water molecules. The HAp NP films with the preferentially elliptical crystalline shapes induced the Fgn steric conformation structures, and the secondary structural changes of the adsorbed Fgn by the increment of temperature were also supported by the Fourier transform infrared spectroscopy (FTIR) deconvolution results.