The effect of the pre-friction extrusion microstructure of AZ91 billet on the microstructure, mechanical properties, and corrosion resistance of AZ91-bioactive glass surface composite rods was investigated. The results show that friction extrusion on AZ91 alloy billet with cast microstructure results in agglomerated bioactive glass particles in the composite rod microstructure. Compared to as-cast AZ91 alloy, friction extrusion on AZ91 alloy billet with cast microstructure results in 93% more corrosion resistance. Also, friction extrusion on AZ91 alloy billet with extruded microstructure leads to a gradient AZ91-bioactive glass composite rod with ultimate tensile strength, yield strength, and corrosion resistance of 9, 2, and 74% higher than AZ91 alloy rods, respectively.