In this paper, carbide cutting tools with physical vapor deposition (PVD) coating was used to high speed milling α+β phase TC4 titanium alloy. The PVD tool was used to study the process of milling TC4 titanium alloy tool wear patterns and wear mechanisms. The results showed that the PVD coating surface wear was small after cutter blade. The cutting life was long, it was suitable for processing of titanium alloy TC4, the wear of rake face was mainly adhesion wear and oxidation wear, the flank face was mainly boundary wear. That was because the adhesion wear of the rake face and the boundary wear of the flank face had a weakening effect on the cutting edge , which made the micro crack blade of the main cutting edge.