Rutile TiO2 with highly active facets has attracted much attention owing to its enhanced activity during the photocatalytic degradation of pollutants such as pharmaceuticals in wastewater. However, it is difficult to obtain by controlling the synthetic conditions. This paper reports a simple hydrothermal synthesis of rutile TiO2 nanorods with highly exposed {110} facets. The obtained rutile was characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), high-resolution transmission electron microscopy (HR-TEM), and Raman spectroscopy. The main contribution to the photocatalytic activity comes from rutile nanorods with highly dominant active {110} facets, which were studied in the photodegradation of reactive cinnamic acid and more recalcitrant ibuprofen. The contribution of active species was also investigated. The present work further confirmed the hydrothermal synthesis route for controlling the preparation of highly crystalline and active rutile nanocrystals.