Titanium alloys have been extensively used in practical machining owing to their outstanding mechanical properties, high specific strength and low thermal deformation. In this study, the cutting experiments are carried out on Ti6Al4V material with right-hand and straight cemented-carbide groove reamers. The experimental results show that the cutting force with the right-hand reamer is smaller compared to straight groove reamer due to the groove structure. The main tool wear forms are micro-chipping, adhesive wear, abrasive wear, and coating falling off on the right-hand reamer, while there is a built-up edge and serious damage failure on the cutting edge of the straight groove reamer. Notch wear and pitting on the surface of the hole wall are mainly caused by chip adhesion and tool wear. The surface-roughness value is the lowest as the cutting speed is 60 m/min and the feed rate is 0.4 mm/rev. The holes machined by the right-hand reamer have a low hole diameter deviation with various cutting parameters. The geometric accuracy of cylindricity is higher as the feed rate is 0.4 mm/rev and the cutting speed is 40 m/min for both kinds of reamers, and the cylindricity is better with the right-hand reamer.