Abstract Organic self-assembled monolayers with nitrogen-containing surface functionalities (amine or alkylammonium) were deposited on acid-etched titanium substrates. These were then coated with apatite deposited from 150% simulated body fluid at 37°C and pH = 7.6 for 2, 4, and 6days (after a 2-day “nucleation” step in contact with bioactive glass in 100% simulated body fluid). Scanning electron microscopy showed that precipitates were numerous on amine- and alkylammonium-modified titanium surfaces after nucleation for 2 days. X-ray diffraction at grazing incidence detected crystalline hydroxyapatite on the modified and unmodified substrates after growth for 2days. Tape peel tests followed by surface chemical analysis showed that the adhesion of the hydroxyapatite coating to the substrates was improved by amine and by alkylammonium modification of the etched titanium surfaces.