X-ray photoelectron spectroscopy, grazing incident x-ray diffraction, transmission electron microscopy, and scanning electron microscopy were conducted to evaluate the effect of titanium hydride on the formation of nanoporous TiO2 on Ti during anodization. Nano-titanium-hydride was formed cathodically before anodizing and served as a sacrificial nanoprecipitate during anodization. Surface oxidation occurred and a multinanoporous structure formed after cathodic pretreatments followed by anodization treatment. The sacrificial nanoprecipitate is directly dissolved and the Ti transformed to nanoporous TiO2 by anodization. The formation of sacrificial nanoprecipitates by cathodic pretreatment and of the multinanostructure by anodization is believed to improve biocompatibility, thereby promoting osseointegration.