The present invention relates to film on the surface of medical titanium-base metal material and its sand blasting-micro arc oxidizing compounding process. Through the first surface sand blasting treatment of titanium or titanium alloy material and the subsequent micro arc oxidizing in electrolyte solution containing phosphate radical ion and calcium ion and with the titanium or titanium alloy material as anode, stainless steel or titanium as cathode and DC power source or DC pulse power source, one bioactive film is in-situ formed on the surface of the titanium or titanium alloy material. The bioactive film of rough porous hydroxyapatite has surface roughness Ra of 2-4.5 micron, no interface with the substrate, elastic modulus reaching that of bone and excellent bioactivity, and may be used as the substitute for femur, hip joint, tooth root, etc. The bioactive film has optimized combination strength, stability and bioactivity.