Abstract Any processing disturbances in laser surface texturing (LST) could compromise the resulting surface topography and their desired functional response. Disturbances such as focal plane offsets and beam incident angle variations are always present in LST processing of 3D parts and can affect the surface morphology. In this research the effects of these laser processing disturbances in producing laser induced surface structures (LIPSS) on CoCrMo alloy substrates were investigated. In particular, these two disturbances were considered as laser processing variables to determine their effects on functional responses of LIPSS treated surfaces, i.e. surface wettability and the proliferation of Saos-2 osteoblast-like cells were evaluated. It was found that the changes of laser processing conditions led to a decrease in surface wettability and Saos-2 cells proliferation. In addition, a correlation between surface wettability and cell proliferation on LIPSS treated surface was identified and conclusions made about the effects of investigated process disturbances on the functional response of LIPSS treated CoCrMo substrates.