Carbon nanotube (CNT) reinforced hydroxyapatite (HAp) composites were fabricated by using the spark plasma sintering process with surfactant modified CNT and HAp nano powder. Without the dependency on sintering temperature, the main crystal phase existed with the HAp phase although a few contents of (Tri calcium phosphate) phase were detected. The maximum fracture toughness, was obtained in the sample sintered at and on the fracture surface a typical intergranular fracture mode, as well as the pull-out pmhenomenon of CNT, was observed.