The development of additive manufacturing technology has made it possible to customize joint implants. However, the fibrous tissue caused by long-term chronic inflammation delays bone regeneration. Moreover, the discovery of micro/nano-structure on the natural bone makes the study of implant surface morphology meaningful. In this study, a Sr-containing nano-structure on micro-structured titanium alloy surface was fabricated to enhanced the anti-inflammatory and osteogenic properties of implants. Ti6Al4V (TC4) alloys with micro-structured surface prepared by additive manufacturing were used as the material base model. Subsequently, spherical SrTiO3 particles were fabricated on the TC4 surfaces by hydrothermal treatment. The anti-inflammatory and osteogenic performance of smooth surface, micro-structured surface, Sr-containing nano-structured surface and Sr-containing micro/nano-structured surface were investigated. In vitro results exhibited that the macrophages cultured on micro/nano-structured surface were polarized to anti-inflammatory M2 phenotype and enhanced the expression of osteogenic growth factors. The Sr-containing micro/nano-structured surface effectively upgraded the proliferation and differentiation of SaOS-2 cells compared with other surfaces. Sr2+ and micro/nano-structure effectively enhanced the anti-inflammatory and osteogenic properties of titanium alloys. This finding suggested that the micro/nano-structured surface doped with bioactive elements is expected to broaden the horizons of biomedical materials. Data availability The raw/processed data required to reproduce these findings cannot be shared at this time as the data also forms part of an ongoing study.