ADAPT aims to integrate technological and digital advancements in the field of Advanced Manufacturing of Customized Orthopaedic Implants, to face the high requirements (complex geometries and demanding structures) in the manufacturing of patient customized metallic implants for the hip and knee. The project implements and scales up a range of proposed solutions over the multiple stages of Additive Manufacturing (AM) from intelligent implant designs and advanced Powder Bed Fusion-Laser Beam (PBF-LB) technologies to post-processing and quality control. AM comprises the best solution for the fabrication of complex geometries and building of bone scaffolds. The project addresses both upstream (anatomy scans, 3D CADs) and downstream (post-processing, quality control) manufacturing stages that directly affect performance, autonomy, and flexibility in industrial AM of metallic implants. A step further, ADAPT addresses implant AM by introducing medical grade beta-Ti alloys with increased mechanical biocompatibility and achieving engineered porosities at microstructure scales through PBF-LB processing. The project’s digital advances achieve “First-Time-Right” approaches in AM, replacing “trial ‘n error”, reducing material-energy uses and the number of defects, with gains on the whole value chain.