In this study, the simultaneous significance of the crystallographic texture and nanostructuring on the cytocompatibility of as-cast (Ti 55 Zr 25 Nb 10 Ta 10 ) 98.5 -Ag 1.5 alloy (at. %, TZNT-Ag 1.5 ), subjected to cold rolling up to 90% reduction, along with the changes of Young's modulus and hardness under cold rolling were investigated. For this purpose, the as-cast and cold-rolled TZNT-Ag 1.5 alloy test specimens were analyzed by XRD, TEM, HRTEM, SEM, contact angle, nanoindentation, and OM techniques. Moreover, to evaluate the effect of severe cold deformation on the biocompatibility, MG-63 osteoblastic cell was cultured on the surface of 90% coldrolled and as-cast test specimens of TZNT-Ag 1.5 alloy. The results showed that severe cold deformation was led to fast grain refinement of β grains of the as-cast TZNT-Ag 1.5 alloy in the range of 50-100 nm. In addition to the nanostructuring, upon severe cold deformation, the -fiber (<111>// normal direction) texture was formed and after 90% reduction, the (111)<1 10> γ -fiber component was strengthened. The micro-hardness and reduced Young's modulus are 235