Fluoride content in groundwater that is greater than the WHO limit of 1.5 mg/L, causes dental and skeletal fluorosis. In India, several states are affected with excess fluoride in groundwater. The problem is aggravated due to the lack of appropriate and user friendly defluoridation technology. Several fluoride removal techniques are reported in the literature amongst which the Nalgonda technique and use of activated alumina have been studied extensively. However a simple, efficient and cost effective technology is not available for widespread use in many affected regions. In this paper, we present a novel cost effective defluoridation method that is based on surface modification of rice husk ash (RHA) by coating aluminum hydroxide. RHA is obtained by burning rice/paddy husk which is an abundantly available and is an inexpensive raw material. The results showed excellent fluoride removal efficiency and the adsorption capacity was found to be between 9 and 10 mg/g. (C) 2010 Elsevier B.V. All rights reserved.