Hierarchical periodic titania nanostructures composed of a macroporous crystalline scaffold and mesoporous titania were prepared by confined synthesis. The strategy for the generation of these hierarchical structures involves preparation of inverse opal titania layers and subsequent filling of the interstitial macroporous voids with surfactant-containing titania precursors to obtain a mesostructured titania phase using the surfactant Pluronic P123. The formation of mesostructure in the confined space of the macroporous scaffold upon thermal treatment was investigated with in situ grazing incidence small-angle X-ray scattering (GISAXS). The macroporous scaffold strongly influences the mesostructure assembly and leads to much larger structural parameters of the formed mesostructure, this effect becoming more pronounced with decreasing pore size of the macroporous host. Furthermore, the inverse opal scaffold acts as a stabilizing matrix, limiting the shrinkage of the mesopores upon heating. This effect is coupled with an enhanced crystallization of the mesophase, which is attributed to the crystalline walls of the macroporous host. Sorption measurements of the final hierarchical titania structure of 5 μm thickness show that the porous system is fully accessible, has a high total surface area of 154 m(2)/g, and has an average mesopore size of 6.1 nm, which is about 20% larger than the pore size of 5.1 nm for the reference mesoporous film obtained on a flat substrate. These hierarchical structures were implemented as anodes in dye-sensitized solar cells (DSCs), showing a conversion efficiency of 4% under one sun illumination, whereas the calcined macroporous scaffold alone shows an efficiency of only 0.4%.