The invention discloses a medical 2.79-micrometer electro-optical Q-switched Cr, Er: YSGG (Erbium, Chromium: Yttrium-Scandium-Gallium-Garnet) laser device which comprises a total reflection cavity sheet, a Q-switched crystal, a polarizer, a xenon lamp, a laser rod, a condensation cavity, a wave sheet, an output cavity sheet, a laser power supply and a laser water cooling system, wherein the laser rod and the xenon lamp are mounted in parallel in the condensation cavity, and connected with the water cooling system; the water cooling system cools the condensation cavity, and the laser rod and the xenon lamp in the condensation cavity; the laser power supply provides electric energy for the xenon lamp, and has a function of coordination, such as controlling the xenon lamp, an electro-optical Q switch, and the water cooling system; a Q-switched power supply in the power supply controls the opening time of the electro-optical Q switch, provides Q-switched high voltage, and is connected with two electrodes of the Q-switched crystal; the two electrodes are positioned on the two sides of the Q-switched crystal, and clung to the surface of a Y-Z plane of the Q-switched crystal, and are parallel to a laser oscillation path; the electro-optical Q switch consists of the polarizer and the electro-optical Q-switched crystal; the Q-switched crystal is a lanthanum gallium silicate (LGS) crystal; the laser rod is a Cr, Er: YSGG laser crystal; and the wave sheet is a 1/4 wave sheet. The laser device has the characteristics of stable output power, and uniform light spot intensity distribution.