The wear resistance of highly porous titanium in the tribo-pair with bronze under boundary lubrication condition was investigated. According to analyses of worn surfaces of highly porous titanium, it was shown that the main reason of poor wear resistance were subsurface pores that led to nucleation of micro-cracks in the subsurface layer and thereby intensified fatigue (delamination) wear. For improvement of wear resistance of highly porous titanium, the surface engineering methods, such as deformation (ball burnishing, BB), diffusion (gas nitriding, GN), and their combination—deformation–diffusion treatment (DDT), were considered. It was shown that surface hardening of highly porous titanium by BB, GN, and DDT reduces the weight wear intensity and the friction coefficient of the tribo-pairs by 1.4, 3.5, 4.0 and 1.8, 2.3, 3.2 times, respectively. Such an improvement in the tribological properties of highly porous titanium after surface hardening is explained by changes in the main wear mechanism of the tribo-pairs from adhesive and fatigue to abrasive. The highest wear resistance of highly porous titanium was observed after surface deformation–diffusion treatment, as this treatment provides a combination of the positive effects of both ball burnishing (closing of surface pores) and nitriding (formation of a surface chemically inert and hard nitride layer).