The invention discloses fluorine removal modified active carbon, which is prepared from the following raw materials in parts by weight: 100-110 parts of active carbon, 6-8 parts of medical stone, 10-14 parts of active aluminum oxide, 6-8 parts of alkaline tourmaline, 7-9 parts of diatomite, 1-2 parts of zirconium nitrate, 1-2 parts of strontium nitrate, 2-4 parts of chitosan, 15-20 parts of acetic acid, 4-5 parts of modified diatomite and a right amount of water. According to the method, active aluminum oxide is used for modify the active carbon, so that the active carbon can effectively remove fluorine in water, catalyses decomposition of organics, and is easy to regenerate; natural stones, such as the medical stone and the alkaline tourmaline, are used for modifying the active carbon, so that the active carbon has functions of anti-bacteria and deodorization, moisture absorption, mildew prevention and desulfurization, and can also catalyze decomposition of organics; the chitosan is also used, so that the active carbon can adsorb metal ions, organic mercury, organics and the like, and is safe and non-toxic. The preparation method of the fluorine removal modified active carbon is simple in technology and suitable for industrial production.