Hydroxyapatite (HA) coating of hard tissue implants is widely employed for its biocompatible and osteoconductive properties as well as its improved mechanical properties. In this study, a novel micro-blasting process has been used to successfully modify a titanium alloy substrate with a HA treatment using a dopant/abrasive regime. The impact of a series of apatite abrasives, was investigated to determine the effect of abrasive particle size on the surface properties of both micro-blasting (abrasive only) and continuous (HA/abrasive) treatments. The resultant HA treated substrates were compared to substrates treated with abrasive only (micro-blasted) and an untreated Ti. The HA powder, apatite abrasives and the treated substrates were characterized for chemical composition, coating coverage, crystalline and topography. The results show that the surface roughness of the HA blasted modification was affected by the particle size of the apatite abrasives used. This study demonstrates the ability of the continuous process to deposit HA coatings with a range of surface properties onto Ti alloy substrates. The ability of the continuous technology to offer diversity in modifying surface topography offers exciting new prospects in tailoring the properties of medical devices for applications ranging from dental to orthopedic settings.