The inside of body is a complex environment for metallic biomaterials because of the synergetic effects of biological factors such as a body fluid including Cl-, proteins and cells, and mechanical factors such as strain, bending and friction. These complex factors may lead the corrosion fatigue which is the commonly experienced degradation of metallic biomaterials. However, crack initiation on type 316L stainless steel with cyclic loading in a simulated body fluid including proteins and cells has been little examined. In the present study, a cyclic stress was applied to the tensile specimen of type 316L stainless steel in the simulated body fluid with cell culturing in order to investigate the crack initiation on the metallic biomaterials in the body environment. A sheet of type 316L stainless steel was shaped into samples for tensile test with a gauge size of 8×4×1 mm3. The samples were mirror-finished, then immersed in a-MEM (Minimum Essential Medium) for 1 day which is a simulated body fluid commonly used for cell culturing (Immersed sample), or immersed in a-MEM+10 vol.% FBS (Fetal Bovine Serum) with cell culturing for 1 week (Sample with cells). During immersion, a-MEM and a-MEM+10 vol.% FBS were kept at 37 °C under an atmosphere of 5 % CO2-20% O2-75 % N2. Initially, Immersed sample and sample with cells were placed in the electrochemical cell filled with a-MEM kept at same condition in immersion, then attached to a corrosion fatigue test machine. A cyclic stress was applied to the sample until 107 cycles. The stress ratio was 0.1 (R=0.1) and the maximum stress was 300 MPa, not exceeding the elastic limit of type 316L stainless steel. The stress frequency was 10 Hz. For comparison, the sample not immersed was also subjected to the test in the air (Sample in the air). After cyclic deformation, cracks initiated on the sample surface were observed using FE-SEM. In addition, crystalline structure of the sample was analyzed using EBSD (Electron Backscatter Diffraction Analysis). From surface observation and EBSD, the relationship of crack initiation and crystalline structure was studied. Most cracks observed on the sample in the air, immersed sample and sample with cells initiated in the grains with Schmidt factor being from 0.4 to 0.5. This result indicates that the cracks tend to initiate along crystal plane with the largest Schmid factor where slip deformation preferentially occurs. On the other hand, non-negligible amount of cracks were observed on the crystal plane with Schmid factor less than 0.4 for the immersed sample and sample with cells. Such cracks initiated along the slip direction toward inside of the sample. In this case, the newly created surface was exposed to a solution, then corrosion along the slip steps was enhanced. Therefore, in the immersed sample and sample with cells, crack initiation was prompted on the crystal plane with the non-largest Schmid factor.