The development process of electrospark deposition (ESD) technology is reviewed, and the principles and differences of ESD technology are discussed in this review. Based on the research status regarding the ESD of titanium alloys, the promotion effect of ESD technology on wear resistance, corrosion resistance, oxidation resistance at high temperatures, and the biocompatibility of titanium alloys was elaborated on. For example, with the use of ESD technology to prepare Ti–Al, TiN, Ni–Cr, and other hardening coatings with high hardness, the maximum hardness of the deposited layer is six times higher than that of the substrate material, which greatly reduces the loss of the material surface in the process of friction in service, and has a high wear–resistance effect. The preparation of a single–phase lamellar coating is more beneficial for improving the oxidation resistance of the substrate. Carbide and a nano–porous coating can effectively enhance the bone integration ability of implants and promote biocompatibility. The application of ESD technology in the surface modification of titanium alloys is reviewed in detail. Finally, the development direction of ESD technology for titanium alloys is proposed.