The invention relates to the technical field of metallurgy, in particular to a pretreatment method for refractory gold ore with antimony and arsenic. The method comprises the steps that 1, the refractory gold ore with antimony and arsenic is broke and subjected to ball milling to form powder; 2, the powder obtained in the step 1 is added into a hermetic vertical pipe type heating furnace, neutral protective gas is introduced in, roasted ore is obtained after roasting and cooling are carried out, produced tail gas enters a tail gas collection device, collected smoke dust is leached through a mixed solution of Na2S with the concentration of 50-200 g/L and NaOH with the concentration of 20-100 g/L, solid-liquid separation is carried out, a filter residue with arsenic and a leaching solution with antimony are obtained, and the leaching solution is electrodeposited to produce metal antimony, wherein leaching time is 30-180 min, and leaching temperature is 20-95 DEG C. The pretreatment method has the advantages that the technological process is simple, operation is flexible, roasting time is short, energy consumption is low, antimony and arsenic can be synchronously removed, smoke gas is low in toxicity and small in amount, and economic and social benefits are good.