The invention discloses a method and a milling cutter for repairing surface defect of a cement concrete construction member, which is used for repairing the surface defects of the building construction members, such as cement concrete wall, piers, girders, plates and the like. For defects of cracks, local damage, voids and pits and the like on the surface of the building construction member, the method and the special milling cutter of the invention firstly remove defects, form a repairing groove and pour concrete again to repair. The method and the milling cutter of the invention can process the surface of the construction member into geometry, such as a plane, a cambered surface, a groove and the like, and especially processes the boundary surface of the repairing groove into regular, smooth, rough and circular-arc corner, which is favourable for construction stress and combination of new and old concrete, improves appearance quality and solves the difficulty problem that the surface of the cement concrete construction member is difficult to repair.