The invention relates to a preparation method for a molecularly imprinted microsphere surface grafted hydrophilic polymer brush, and belongs to the technical field of environment function material preparation. The method comprises the steps of using sulfamethazine as template molecules, using 4-vinylpyridine as a functional monomer, using ethylene glycol dimethacrylate as a cross-linking agent, using methyl alcohol and water as a solvent, using copper bromide/N,N,N',N,'N''-pentamethyldiethylenetriamine/azodiisobutyronitrile as an initiating system to initiate reverse atom transfer radical precipitation and polymerization, so as to prepare the molecularly imprinted polymer microsphere with the surface containing active initiators, using the molecularly imprinted polymer microsphere as the macroinitiator, using cuprous bromide/N,N,N',N',N''-pentamethyldiethylenetriamine as a catalyst, and polymerizing surface initiated atom transfer radical on a molecularly imprinted microsphere surface grafted hydrophilic hydroxyethylmethacylate brush in the methyl alcohol/water mixed solvent. The molecularly imprinted polymer microsphere prepared through the method has higher adsorption capacity, fast adsorption kinetics property and good selective adsorption performance.