“…In this chapter, the main focus is nanotubular structures on titanium surface that can be created using a variety of techniques such as template-assisted, electrochemical anodization and hydrothermal treatment [ 27 ]. Previously, these nanotubes have proved to be benefi cial for implants in several ways including (1) to provide higher surface area for the cells to integrate and make focal adhesion with the substrate [ 28 , 29 ], (2) to mimic the bone morphology through their nanotubular structures [ 2 ], (3) to introduce stress gradient which distributes the body stress from metal implants' bulk center to the nanotubes surface due to its mechanical and chemical properties [ 30 ], thereby reducing the stress-shielding effect on the bone cells, and (4) they can be loaded with drug of interest such as bone-morphogenic protein that may provide cells their familiar extracellular environment and therefore enhance bone-implant interaction [ 31 , 32 ], anti-infl ammatory drug that can prevent infl ammation [ 33 ], or other drugs such as Vancomycin that can control the infection post-implant surgery, which occurs over time around the implant site, and it is one of the factors that leads to revision surgery [ 34 ]. This well-organized simple yet complex nanotubular architecture of nanotubes has generated a spark in biomedical engineers to create smart and customized implants that possess added benefi ts of drug delivery depending on patient's age, needs, profession, and condition.…”