Transient numerical analysis to elastohydrodynamically lubricated point contacts with rough surfaces is described. The numerical simulation is based on the multigrid method. Three types of surface roughness: single dent or bump, oblique waviness and random roughness are reviewed. Under heavily loaded conditions, results reveal a strong domination of Couette flow (convective flow). The presence of sliding greatly increases pressure fluctuation and as a consequence may lead to surface-initiated spallings. For obliquely orientated roughness, lubricant flow intends to deform the ridges and create primarily longitudinal passages.