Tool wear in diamond cutting sinusoidal mircostructured surfaces may be quite different from that in conventional diamond turning as the sharp point tip tool is used and the depth of cut changes cyclically along the profile of the cutting surfaces. In present paper, the diamond tool geometry requirements for cutting sinusoidal microstructured surfaces were analyzed. A series of controlled cutting tests of LY12 were executed on a 2-aixs bench type ultra-precision turning machine which equipped a fast tool servo (FTS). Tool wear patterns were investigated with varied feed speed in diamond cutting sinusoidal microstructured surfaces. The scanning electron microscope (SEM) examination results of tool wear showed that the visible wear was occurred after a short cutting distance. The gradual wear around tool tip and along cutting edges was predominant wear pattern with a low feed speed. The catastrophic fracture wear at tool tip was happened with a high feed speed and the wear of sharp point tip of tool was more serious than that of cutting edges of tool.