Titanium alloys for their characteristics have acquired a prominent position in numerous industrial applications. Due to its properties, such as high resistance to corrosion, reduced density, high specific strength, and low Young’s modulus, titanium alloys became indispensable as a biomaterial with high use in medical devices, with special emphasis in the area of orthopedics. Problems associated with its manufacturing by conventional machining processes, such as milling, turning, and drilling are well known and studied. Its low thermal conductivity, high chemical reactivity, high hardness at high temperatures make it classified as difficult to machine material. Despite the already extensive knowledge about machining titanium alloys problems, and the constant technological development to overcome them, it is not yet possible to machine this material like other metals. This work is based on research and review papers from Scopus and Scholar from 2010 to 2020 and addresses the main issues related to the machining of titanium alloys used in medical devices manufacturing and current solutions adopted to solve them. From the research consulted it was possible to conclude that it is consensual that for milling, turning, and helical milling cutting speed can reach up to 100 m/min and up to 40 m/min in drilling. As for feed rate, up to 0.1 mm/tooth for milling and helical milling and up to 0.3 mm/rev for turning and 0.1 mm/rev for drilling. Also, that Minimum Quantity Lubrication is a valid and efficient solution to mitigate titanium alloys machining problems.