First-principles molecular dynamics simulations are used to explore sliding along interfaces composed of different forms of hydroxylated (0001)/(0001) interfaces of α-alumina (Al2O3). The results demonstrate that a fully hydroxylated form of the interface is insensitive to changes in normal pressure, P. Meanwhile, partially hydroxylated interfaces undergo changes in structure when P is increased. The different interface structures exhibit different sliding mechanisms. The fully hydroxylated interface exhibits smooth sliding with low critical shear stresses. At low P, the partially hydroxylated interface takes part in a slip mechanism that is dominated by changes in hydrogen bonding across the interface, leading to larger critical shear stresses than observed for the fully hydroxylated system. At high P, the partially hydroxylated interface undergoes slip through a process involving the formation and dissociation of Al−O bonds across the interface, leading to high critical shear stresses and irreversibly changing the interface structure. The differences in the slip mechanisms for these systems are rationalized in terms of the electronic structures of the interfaces. As a whole, the study provides detailed insight regarding the relationship between interface structure, friction, and wear, and highlights the importance of fully chemically passivating surfaces to minimize friction and wear.