X-ray photoelectron spectroscopy, time-of-flight secondary ion mass spectrometry and X-ray diffraction were employed to study the effect of intense mechanical treatment on the surface chemical state, composition and structure of a commercial biomedical CoCrMo alloy ('Bondi-Loy'). The ultrasonic impact treatment of the alloy in air with duration up to 30 s was found to cause the deformation-enhanced oxidation and deformation-induced surface segregation of the components and impurities from the bulk. The compositionally inhomogeneous mixed oxide layer formed under impact treatment was composed mainly of Cr2O3 and silicon oxide with admixture of CoO, MoO2, MoO3 and iron oxide/hydroxide, the latter being transferred onto the alloy surface from the steel pin. The impact treatment promoted a progressive accumulation of carbon on the alloy surface due to its deformation-induced segregation from the bulk and deformation-induced uptake of hydrocarbons from the ambient; concurrently, the dissolution/refinement of carbides originally present in the as-cast CoCrMo alloy occurred. The impact treatment gave rise to a two-fold increase in the volume fraction of the martensitic hcp epsilon-phase, a 30% increase in the surface microhardness and improved resistance to corrosion in the solution of artificial saliva compared to the as-polished alloy. (C) 2017 Elsevier B.V. All rights reserved.