Well-dispersed hydroxyapatite (HA) nanorods with different morphologies were synthesized by a hydrothermal method in oleic acid, ethanol and water reaction system, and the surfactant assisted modifications effect was also comparatively studied. The structure and morphology of samples were characterized using X-ray diffraction (XRD), Fourier transform infrared (FT-IR) spectroscopy and transmission electron microscopy (TEM), respectively. The effect of reaction systems and surfactant additives on the morphology evolution of HA nanorods were discussed in detail. The results showed that the controlled experimental conditions in the systems, such as the content ratio of oleic acid/ethanol, pH value and the content ratio of Ca/P source had an significant effect on the morphology evolution of as-prepared HA nanorods. Further, the selected surfactant additives, such as cetyltriethylammnonium bromide (CTAB), sodium dodecyl sulfate (K12) also play an important role in the formation of the uniform morphology of HA nanorods. Some possible formation mechanisms of the HA nanorods in the present reaction systems is proposed. (c) 2010 Elsevier B. V. All rights reserved.