The medical polyurethane (PU) film was grafted with poly(acrylic acid) (PAA) to improve the hydrophilic and lubricious properties. The influences of pretreatment by ozone or potassium peroxydisulfate on themorphologies of PU films and grafting results were systematically investigated. The grafted PU films were characterized using attenuated total reflection Fourier transformed infrared spectroscopy (ATR-FTIR), scanning electron microscopy (SEM), atomic force microscopy (AFM) and gel permeation chromatography (GPC). The hydrophilic and lubricious properties were evaluated by water contact angle and friction coefficient, respectively. The results showed that PAA could be grafted firmly on PU activated by both ozone and potassium peroxydisulfate, and the PAA-grafted PU showed good hydrophilic and lubricious performance. More importantly, the PAA-grafted PU films with the pretreatment of ozone were better in surface roughness, hydrophilicty and lubricity, compared to those with the pretreatment of potassium peroxydisulfate. Hence, surface ozonation could be a better choice for the pretreatment of medical polymer. (C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 116: 1284-1290, 2010