A review of experimental studies carried out at the NRC “Kurchatov Institute” on plasma-facing thermonuclear fusion reactor materials is presented in the paper. An experimental method was developed to produce high-level radiation damage in materials simulating the neutron effect by surrogate irradiation with high-energy ions. Plasma-surface interaction is investigated on materials irradiated to high levels of radiation damage in high-flux deuterium plasma. The total fluence of accelerated ions (3–30 MeV, 4He2+, 12C3+, 14N3+, protons) on the samples was 1021–1023 m−2. Experiments were carried out on graphite materials, tungsten, and silicon carbide. Samples have been obtained with a primary defect concentration from 0.1 to 100 displacements per atom, which covers the predicted damage for the ITER and DEMO projects. Erosion dynamics of the irradiated materials in steady-state deuterium plasma, changes of the surface microstructure, and deuterium retention were studied using SEM, TEM, ERDA, TDS, and nuclear backscattering techniques. The surface layer of the materials (3 to hundreds µm) was investigated, and it was shown that the changes in the crystal structure, the loss of their symmetry, and diffusion of defects to grain boundaries play an important role. The most significant results are presented in the paper as an overview of our previous work for many years (carbon and tungsten materials) as well as the relatively recent results (silicon carbide).