The design freedom offered by additive manufacturing (AM) enables the fabrication of components with internal surfaces that are challenging to access post-manufacture. This is of concern, as the surface condition can markedly deteriorate fatigue performance. Additionally, the adaptation of surface finishing methods for AM components with topologically optimized designs can be a costly practice. It is therefore desirable to consider deploying AM parts with no or minimal surface processing for targeted applications. This requires an in-depth understanding of the formation of various types of AM surfaces, including the variation in surface condition and controlling factors, and their influence on mechanical performance. The last few years have seen significant research advances in these aspects. Ti-6Al-4V is the most extensively studied alloy for AM. The research data available now allows an informative treatment of this topic for both practical applications and future research. Using laser powder bed fusion (LPBF) of Ti-6Al-4V as a model AM − alloy system, this article examines (i) the characteristics of various types of LPBF surfaces including horizontal, vertical, inclined, upward, downward, internal isolated, and slotted surfaces; (ii) the design features and LPBF variables that affect the surface topography; (iii) the capabilities of existing post-AM surface processing methods; and (iv) the influence of AM surface topography on mechanical properties by focusing on the fatigue performance. On this basis, design considerations are recommended for AM of consistent surfaces, and priority surface-related research issues are identified. The purpose is to establish an essential knowledge base for improved commercial designs for LPBF for suitable dynamically loaded applications, with no or minimal surface processing. While centering on LPBF of Ti-6Al-4V, the insights derived are expected to be applicable to other AM processes or metallic materials.