The invention discloses a method for preparing biomedical titanium and titanium alloy surface antibacterial coatings. The method comprises steps of firstly, processing the surface of a biomedical titanium or titanium alloy sample to be processed, immersing the biomedical titanium or titanium alloy sample in a glycol aqueous solution containing soluble fluoride and performing an anode oxidation treatment; secondly, immersing the biomedical titanium or titanium alloy sample after being subjected to the anode oxidation treatment in a silver nitrate solution, taking out the biomedical titanium or titanium alloy sample, using ultraviolet light radiation to process the biomedical titanium or titanium alloy sample and obtaining the silver-carrying biomedical titanium or titanium alloy sample; and performing a micro-arc oxidation treatment for the silver-carrying biomedical titanium or titanium alloy sample, performing ultrasonic cleaning and vacuum drying and obtaining the antibacterial coatings. The nano precoating layer preparation, the silver-carrying treatment and a micro-arc oxidation technology are combined, then a large amount of silver can be fixed on the biomedical titanium and titanium alloy sample surfaces and can be released slowly for a long time, the antibacterial performance of titanium and titanium alloys is greatly improved, the antibacterial effect can be kept for a long time, and the bacterial infection caused by the fact that a titanium and titanium alloy apparatus is embedded in a human body is greatly reduced or avoided.