Biodegradable nanofibrous poly(L-lactic acid) (PLLA) scaffold was prepared by an electrospinning process for use in tissue regeneration. The nanofiber scaffold was treated with oxygen plasma and then simultaneously in situ grafted with hydrophilic acrylic acid (AA) to obtain PLLA-g-PAA. The fiber diameter, pore size, and porosity of the electrospun nanofibrous PLLA scaffold were estimated as $250sim750nm,;sim30{mu}m$, and 95%, respectively. The ultimate tensile strength was 1.7 MPa and the percent elongation at break was 120%. Although the physical and mechanical properties of the PLLA-g-PAA scaffold were comparable to those of the PLLA control, a significantly lower contact angle and significantly higher ratio of oxygen to carbon were notable on the PLLA-g-PAA surface. After the fibroblasts were cultured for up to 6 days, cell adhesion and proliferation were much improved on the nanofibrous PLLA-g-PAA scaffold than on either PLLA film or unmodified nanofibrous PLLA scaffold. The present work demonstrated that the applications of plasma treatment and hydrophilic AA grafting were effective to modify the surface of electrospun nanofibrous polymer scaffolds and that the altered surface characteristics significantly improved cell adhesion and proliferation.