PbO2 is widely employed as an electrocatalyst for anodic oxidation processes including the generation of oxygen and the degradation of various organic species in aqueous solution. However, despite extensive investigation, the precise mechanism of action remains obscure. In this paper we establish a previously unrecognized strong correlation between the morphology of the PbO2 deposits and their electrocatalytic activity. Cyclic voltammetric results are described for the electrodeposition of PbO2 on boron-doped diamond (BDD) electrodes from 2.5 mM solutions of lead(II) nitrate in nitric acid at pH values between approximately 0 and 7. A likely change in mechanism is observed around pH 4, consistent with the Pourbaix diagram of lead. The morphology of the PbO2 films is observed as a function of time and potential, using in situ AFM in each of the lead solutions. Information on the growth rates of the films is extracted, and the limitations of using AFM in such an application are discussed. It is shown that the deposit morphology depends strongly on the specific conditions used. The oxidation of a 100 mM glucose solution on electrodes modified by PbO2 deposition at a range of potentials and pH values is used as an indicator of the catalytic activity of the corresponding films, leading to the observation of the correlation between deposit morphology and catalytic activity mentioned above.