In load bearing implants metallic biomaterials have the first preference in orthopedic surgery because of their good mechanical properties which satisfied the prerequisite of human cortical bone. However metallic implants have limitations of poor wear resistance and release of metal ions resulting in to implant failure. To overcome these limitations hydroxyapatite based coatings on metal substrate can be used. The application of hydroxyapatite coating with the second reinforcement improve the fatigue strength of composite coatings. In this paper, commonly used metallic biomaterials for application of hydroxyapatite based composite coatings are discussed. Plasma spray coating technique with variable process parameters has been considered for this review. Presently plasma spray technique is commonly used for application of HA coatings in medical industry.