PurposeThis study compares the fatigue performance and biocompatibility of as-built and chemically etched Ti-6Al-4V alloys in TPMS-gyroid and stochastic structures fabricated via Powder Bed Fusion Laser Beam (PBF-LB). This study aims to understand how complex lattice structures and post-manufacturing treatment, particularly chemical etching, affect the mechanical properties, surface morphology, fatigue resistance and biocompatibility of these metamaterials for biomedical applications.Design/methodology/approachSelective Laser Melting (SLM) technology was used to fabricate TPMS-gyroid and Voronoi stochastic designs with three different relative densities (0.2, 0.3 and 0.4) in Ti-6Al-4V ELI alloy. The as-built samples underwent a chemical etching process to enhance surface quality. Mechanical characterization included static compression and dynamic fatigue testing, complemented by scanning electron microscopy (SEM) for surface and failure analysis. The biocompatibility of the samples was assessed through in-vitro cell viability assays using the Alamar Blue assay and cell proliferation studies.FindingsChemical etching significantly improves the surface morphology, mechanical properties and fatigue resistance of both TPMS-gyroid and stochastic structures. Gyroid structures demonstrated superior mechanical performance and fatigue resistance compared to stochastic structures, with etching providing more pronounced benefits in these aspects. In-vitro biocompatibility tests showed high cytocompatibility for both as-built and etched samples, with etched samples exhibiting notably improved cell viability. The study also highlights the importance of design and post-processing in optimizing the performance of Ti64 components for biomedical applications.Originality/valueThe comparative analysis between as-built and etched conditions, alongside considering different lattice designs, provides valuable information for developing advanced biomedical implants. The demonstration of enhanced fatigue resistance and biocompatibility through etching adds significant value to the field of additive manufacturing, suggesting new avenues for designing and post-processing implantable devices.