The invention discloses a precise thermal machining method for an engine piston connecting rod, and belongs to the technical field of metal material plastic machining. The method comprises the following steps that S101, a round blank is heated; S102, a precise pre-forming combination process is adopted, wherein a local upsetting process is adopted at first, a box-type variable-cross-section hole type transverse rolling forming process is adopted secondly, and thirdly, flattening and forming is carried out on the rolled blanks in a flattening mode so as to obtain a precisely-blocked extruded blank; and S103, reunion blocking and precise extrusion forming are carried out. According to the precise thermal machining method, the precise pre-forming combination process is adopted, and the process comprises the local upsetting process, the box-type variable-cross-section hole type transverse rolling forming process and a flattening and blocking precision extrusion forming process, so that precise hot working forming of the engine piston connecting rod is realized, the strength and the rigidity of the engine piston connecting rod meet the use requirements, wherein the sizes of a small head, the size of a rod body and the size of a large head of the engine piston connecting rod are close to the size of a finished product, the utilization rate of the material reaches more than 98%, and compared with an existing open type die forging, the material utilization rate is remarkably improved.