In this work, titanium oxide nanorod arrays were fabricated by using the hydrothermal method on fluorine-doped tin oxide (FTO) coated glass. The diameter of the nanorods could be controlled from 150 nm to 30 nm by changing the growth parameters. The surface morphology and the structure of the samples were characterized by SEM and XRD. The wetting properties were identified by contact angle measurement. Platelet attachment was investigated to evaluate the blood compatibility of the samples with different nanoscale topographies. Results show that the nanotopographical surfaces perform outstanding blood compatibility, and the adhering platelet decreased with the increasing diameter of the nanorods.