The invention relates to the field of a multi-modulation mode multifunctional laser device and an output method based on a monolithic double 45°-MgO:LN. The device includes: front cavity mirror, pump source, laser gain medium, double 45°‑MgO: LN crystal, acousto-optic crystal, first output mirror, second output mirror, first block doped MgO: LN Crystal, the second horizontal back-pressure electro-optic modulator, the first Brewster mirror, the s-light full reflection mirror with electric guide rail, the p-light output mirror, the first optical isolator switch, the electro-optic control device, the acousto-optic modulator , the second optical isolator switch, the p-light total reflection mirror with electric guide rail, the s-light output mirror, the electro-optic control device is connected with the double 45°-MgO: LN crystal, the second horizontal back pressure electro-optic modulator Connected to the first bulk doped MgO:LN crystal. The invention can realize switching among three modulation modes of high repetition frequency acousto-optic Q-switched pulse laser, high-power electro-optic Q-switch pulse laser and electro-optic cavity emptying with narrow pulse width and high peak power, and has high integration and easy operation.