The invention discloses a solid waste pelletizing process and an efficient sintering method thereof, waste magnesium oxide powder, iron-containing solid waste and a binder are adopted as raw materials, and solid waste pellets are prepared after burdening, surface modification and pelletizing; and mixing the solid waste pellets and a mineral mixture prepared by adopting a mixing granulation process as sintering raw materials, and sequentially carrying out material distribution, ignition, sintering, cooling and whole grain screening to obtain a finished product of sintered ore, the binder is prepared from waste magnesium oxide sludge, municipal sludge, first quick lime and corn starch; the waste magnesium oxide powder and the waste magnesium oxide sludge are magnesium oxide wastes. According to the method, the magnesium oxide waste, the municipal sludge, the rotary hearth furnace fine powder and other solid wastes inside and outside the steel plant are fully recycled, local concentrated heterogeneous sintering of magnesium oxide is realized, the adverse effect of uniform distribution of MgO on the sintering productivity is avoided, the quality of solid waste pellets is improved, and the production cost is reduced. Therefore, the quality index and the heat energy utilization efficiency of the finished sinter are remarkably improved, and fuel consumption and CO2 emission are reduced.