Nanoscale diamond has recently received considerable attention due to the various possible applications such as luminescence imaging, drug delivery, quantum engineering, surface coatings, seeding etc. For most of these fields a suitable surface termination and functionalization of the diamond materials are required. In this feature article we discuss recent achievements in the field of surface modification of nanoscale diamond including the establishment of a homogeneous initial surface termination, the covalent and non-covalent immobilization of different functional moieties as well as the subsequent grafting of larger (bio)molecules onto previously functionalized nanodiamond.