The Titanium surfaces and composites fabrication was characterized by using laser-energy-based fabrication and surface modification methods. For the fabrication of titanium and titanium alloy implants for fabrication tissue integration, laser surface micormachining (LSM) and laser engineered near-net shape fabrication (LENNS) were used. LNS offers micron-scale control of surface microtexture, organization and placement. LENNS offer control of 3-D fabrication and composition to create regional composites. The LNS and LENNS techniques offer significant advantages over current industry standard fabrication and surface modification techniques, for fabrication of titanium-based bone and soft tissue integrating implants.