A medical injection needle (1) having a metallic needle body (2) comprising an axially extending wall (3), a first end portion (4), a second end portion (6), and a flow path (7) providing for fluid communication between the first end portion (4) and the second end portion (6) along the axially extending wall (3), wherein at least a portion of the metallic needle body (2) comprises a hardened surface layer (10, 20) in which carbon atoms and nitrogen atoms are deposited.