The invention relates to anion resin for bilirubin absorption and a preparation method thereof. According to the invention, in the anion resin for bilirubin absorption, styrene is adopted as monomers, divinyl benzene is adopted as a cross-linking agent, maleic anhydride copolymer microspheres and organic small molecules are adopted as a pore-forming agent, and oil dispersible hyperoxide is adopted as an initiating agent; porous microspheres are prepared through suspension polymerization; and the anion resin with preferential bilirubin adsorption ability is obtained through quaternary ammoniation treatment, wherein the theoretical crosslinking degree of the resin is 4-20%, the average pore size of total pores is 80-120nm, and functional groups are quaternary ammonium salt groups. Accordingto the invention, the anion resin with uniform pore sizes, good permeability, good blood compatibility, high preferential adsorption of bilirubins, is obtained, and the problems in the prior art, such as poor absorption selectivity, high prices of imports, and the like, are solved.