A porous-coated Ti-6Al-4V implant was fabricated by electrical resistance sintering, using 480 muF capacitance and 1.5 kJ input energy. X-ray photoelectron spectroscopy (XPS) was used to study the surface characteristics of the implant material before and after sintering. There were substantial differences in the content of O and N between as-received atomized Ti-6Al-4V powders and the sintered prototype implant, which indicates that electrical resistance sintering alters the surface composition of Ti-6Al-4V. Whereas the surface of atomized Ti-6Al-4V powders was primarily TiO2, the surface of the implant consisted of a complex of titanium oxides as well as small amounts of titanium carbide and nitride. It is proposed that the electrical resistance sintering process consists of five stages: stage I - electronic breakdown of oxide film and heat accumulation at the metal-oxide interface; stage II - physical breakdown of oxide film; stage III - neck formation and neck growth; stage IV - oxidation, nitriding, and carburizing; and stage V - heat dissipation. The fourth stage, during which the alloy repassivates, is responsible for the altered surface composition of the implant.