Surface patterns can be used as a selective coating platform on metal surfaces, in particular, under various deformation conditions because they induce local strain gradients along with pattern geometry. In this study, hard and flexible coating materials were introduced to regions with small and large deformations, respectively, on patterned magnesium (Mg) surfaces. Despite significant deformation, a polymer-ceramic coating on patterned Mg maintained its protection, as opposed to a ceramic coating on a flat Mg surface. Our proposed approach can be implemented in various Mg-based medical-device platforms by optimizing surface patterns on Mg depending on their loading conditions for clinical use.