The invention provides an LED guide rail lamp rotating structure comprising a track, a movement seat, a suspension rod, a rotating assembly, an installation adjustment assembly and a lamp body. The movement seat is assembled to the lower end of the track, the upper end of the suspension rod is connected with the movement seat through the rotating assembly, the installation adjustment assembly is installed at the lower end of the suspension rod, and the lamp body is assembled inside the installation adjustment assembly. The rotating assembly comprises a cavity, a rotary table, a first gear, a second gear, a box body, an installation barrel, a sponge sleeve, an arc chamber, an oil storage cavity, a first electric push rod, a push plate and a conveying pipe. The installation adjustment assembly comprises a fixing fixed station, a second electric push rod, a connection seat, a supporting seat, an arc plate, a cross-shaped sliding chute, a cross-shaped sliding block, a clamping ring, a lower connection ring, an upper connection ring, a fixing shaft and a connection frame. Compared with the prior art, the LED guide rail lamp rotating structure has the following beneficial effects that the purpose of improving the rotating steadiness is achieved, the purpose of adjusting the lamp body irradiation angle is also achieved, the lamp body is convenient to install, and installation stability is good.