In recent years researchers all over the world have been interested in obtaining the evaluation and medical applications of the composites based on calcium phosphates, mainly hydroxyapatite and TCP. Hydroxyapatite (HAp)-Ca10(PO4)6(OH)2 is a material of high biocompatibility and additionally it is also one of the few bioactive materials able to create direct, and thus permanent, bonding with the bone tissue [1–3]. Full use of the unique properties of the dense hydroxyapatite ceramics is potentially possible only if their mechanical strength and fracture toughness are improved. These effects can be achieved in composite materials with HAp matrix. Among various reinforcing phases applied in the form of particles, platelets, fibers and nanoparticles, zirconia (ZrO2) seems to be the most interesting one, due to its excellent mechanical properties [4]. Toughening mechanism utilizing the tetragonal—monoclinic transformation of ZrO2 as well as the microcracking toughening mechanism resulting from the difference in thermal expansion coefficients of hydroxyapatite and zirconia are expected to occur in HAp-ZrO2 composites [5]. The biological inertness and good biocompatibility of ZrO2 sinters were confirmed by their medical applications [6]. However, in the case of composites containing substrates of excellent biocompatibility, it cannot be assumed that the final material will exhibit the same high level of biocompatibility. Numerous phenomena which occur during the materials processing may affect the phase composition, microstructure, and other properties responsible for the biological reactions. Therefore it is important to perform tests which evaluate the behavior of a composite material in conditions simulating an environment in a living organism. The objective of our study was manufacturing and comparative in vitro evaluation of the HAp-ZrO2 composite and monophase HAp sinters obtained by hot pressing method. The study was performed on dense composite sinters (HAp80 wt%-ZrO220 wt%) and pure HAp used as a reference material. Non-stabilized zirconia powder was produced by precipitation of hydrated ZrO2 from ZrOCl2·8H2O aqueous solution [7]. The HApZrO2 composite powder was synthesized by precipitation of hydroxyapatite in the presence of ZrO2 (wet process). The weighed amount of ZrO2 powder was added to the intensively stirred aqueous suspension of Ca(OH)2. Then the solution of H3PO4 was added slowly to the reaction medium. The precipitate produced was rinsed with distilled water, dried, calcined at 800 ◦C for three hours, and then ground. The composite powder obtained was an initial material for the production of dense HAp-ZrO2 sinters. Hydroxyapatite for dense monophase HAp material was synthesized by the wet method using CaO and H3PO4 as reagents [8]. The precipitate was treated as described above. The samples of monophase HAp ceramics and HApZrO2 composite were hot pressed in the temperature range of 1150 ÷ 1300 ◦C (Thermal Technology Inc. kiln). The pressing was performed in graphite molds under argon atmosphere at a pressure of 25 MPa with a 0.5 hr soaking time, at the highest temperature. The cytotoxicity analyses performed in this study constitute one of the stages of biological analyzes used for evaluation of broadly understood material biocompatibility. Although in vitro systems may not reflect normal in vivo conditions accurately, a cell-culture system is useful to observe phenomena at the cellular level. Such systems have been used to evaluate biocompatibility of implant materials and to study the interactions occurring at the cell-material interface [9]. The whole range of biocompatibility analyzes depends on the duration and kind of contact between an implant material and an organism, and is determined according to the PN-EN ISO 10993-1:1997 standard. The cytotoxicity analyzes are fast, standardised tests which can determine if a given material designed for medical applications contains significant amounts of biologically harmful substances. High sensitivity of these tests result from the isolation of cell cultures and thus lack of defence mechanisms, which accompany the cells within the body. The cytotoxicity tests were performed on the samples according to the standard PN-EN ISO 10993-5 “Biological evaluation of medical products. Cytotoxicity investigations: in vitro methods”. A method of direct contact with a layer of mouse fibroblasts 3T3/Balb evenly