The invention discloses a three-circuit, two-segment and two-tie medium-voltage overhead main power distribution network and a building method thereof. The power distribution network comprises a first primary power supply segment, a second primary power supply segment, a third primary power supply segment and a triangular power supply structure, wherein the first primary power supply segment is built by a first end power supply, the second primary power supply segment is built by a second end power supply, the third primary power supply segment is built by a third end power supply, the triangular power supply structure comprises a first secondary power supply segment, a second secondary power supply segment and a third secondary power supply segment which are connected in a head-to-tail way and are in a triangular shape, and a wiring structure is arranged on each of the first secondary power supply segment, the second secondary power supply segment and the third secondary power supply segment and comprises a segment switch in a normally closed state and a connection switch in a normally open state. The power distribution network adopts a two-circuit, two-segment and two-tie structure, the structure is relatively independent, is relatively high in load transfer capability, is simple and reasonable and is particularly applicable to rural areas and new city regions, and the actual requirements of transportation inspection, dispatching and marketing management are met.