The invention discloses a surface machining method for an obtrusive hollow cylinder and a ball end mill, in particular to the machining method and the ball end mill which use an ordinary three-shaft vertical machine, and can reduce clamping frequency, improve machining efficiency and machining stability. The machining method comprises course machining and fine machining, wherein the fine machining comprises the following steps: 1, semifinishing a round groove, a cylindrical face and a circular truncated cone curved face by a T-shaped milling cutter, wherein the unilateral margins of the round groove and the cylindrical face are both 0.15 mm, and the machining margin of the circular truncated cone curved face is 0.12 mm; 2, finishing the round groove, the cylindrical face and the circular truncated cone curved face by the T-shaped milling cutter, wherein the parameters of the T-shaped milling cutter are the same as the parameters in step 1, the margins for machining the round groove and the cylindrical face are 0 mm, namely, machining is in place, and the unilateral margin of the circular truncated cone curved face is 0.08 mm; 3, finishing the circular truncated cone curved face by adopting the specially made ball end mill, wherein the smallest cutting length is 0.1 mm. For the specially made ball end mill, the diameter of the cutter bar is smaller than that of the bulb. The machining quality of a part is ensured by the method and use of the ball end mill.