The invention discloses a dredger fill sludge dewatering and solidification method, belonging to the hydraulic dredger fill field of hydraulic engineering. The method mainly comprises the processes of sludge suction, pumping, separation adjuvant dosing, dewatering, pre-pressing solidification and separation adjuvant dosing. The implementation of the method comprises the steps of: firstly partitioning a dredger fill area, then dissolving and diluting separation adjuvant, arranging separation adjuvant dosing points on a dredger fill sludge delivery pipe, evenly mixing the separation adjuvant under the hydraulic agitation effect of delivered sludge in the pipe, spraying the mixed sludge into the dredger fill area, avoiding artificial disturbance as much as possible, finally drain supernatant clear water of the dredger fill area and using a pre-pressing method for further dewatering and solidification to form a foundation. By adopting the method, the separation adjuvant is evenly mixed with the dredger fill sludge under the hydraulic agitation effect during pipe delivery. Through the effects of collision, coagulation, flocculation, agglomeration and the like, the grain size of the dredger fill sludge is increased, the sludge-water separation speed is accelerated, the dewatering efficiency is improved, the sludge solidification effect is promoted and the engineering benefit is improved. The method has the advantages of that the method is economic, practical and environment-friendly.