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This recent study deals with the optimization of the mechanical performance of Grade 2 and Grade 4 titanium with Conform severe plastic deformation (SPD) processing and subsequent rotary swaging. A comprehensive study of the materials behaviour and characterisation during and after processing is given by (finite element method - FEM) numerical simulation, microscopy methods and mechanical testing. The mechanical and fatigue properties are discussed in terms of texture and microstructure evolution. It is shown that the combination of Conform SPD and rotary swaging is a promising technique for economically reliable, high-gain production of titanium alloys fulfilling requirements for biomedical applications. Such a processing can improve the mechanical properties of the unalloyed titanium to the level of the commonly used Ti-6Al-4V.