The invention provides a desilicication and hardness removal integrated device and method, and relates to the technical field of wastewater treatment. According to the device disclosed by the invention, the regulating tank, the hardness removal tank, the silicon removal tank, the coagulation tank, the flocculation tank and the sedimentation tank are integrated, so that high-silicon and high-hardness wastewater is subjected to mud-water separation in the same sedimentation tank after hardness removal and desilicication. The method comprises the following steps: sequentially adding sodium hydroxide, sodium carbonate, a desiliconization agent, a coagulant and a flocculant into an adjusting tank, a hardness removal tank, a silicon removal tank, a coagulation tank and a flocculation tank, staying in each tank for a period of time and then entering a sedimentation tank, obtaining clarified desiliconized hardness-removed wastewater at an outlet at the upper part of the sedimentation tank, and obtaining sludge containing a hardness-removed product and a desiliconized product at the bottom of the sedimentation tank. According to the invention, the integration degree is high, the number of coagulation tanks, flocculation tanks and sedimentation tanks is reduced, the process flow is simplified, the removal rates of hardness and silicon in the high-silicon and high-hardness wastewater respectively reach 95% and 90%, the requirements of downstream inflow water quality are met, and the method is a rapid and efficient desilicication and hardness removal method and is suitable for industrial application.