Abstract: The effect of the surface treatment on the fretting wear behavior of 316LVM austenitic stain less steel was investigated in the Ringer′s solution by a Servo Hydraulic Dynamic Test machine. Three kinds of surface treatments Were used in the experiments, namely low-temperature plasma nitriding at 430℃,carbonitriding at 430℃,and carburizing at 500℃, respectively. The experimental results indicated that all the three treatments created a layer Of “S” phase on the sample surface, which effectively improved the hardness and elastic modulus of 316LVM and further enhanced its anti-corrosion and anti-wear properties. The 316LVMnitridedat430℃ showed the similar Friction behavior as that carbonitrided at 430℃.Even the 316LVM carburized at 500℃ exhibited the lowest Friction coefficient; the low-temperature plasma carbonitrided at 430℃ was the best surface treatment of three Against the fretting wear of medical grade316LVM austenitic stainless steels in this experiment