The invention belongs to the field of orthopedic surgery osteotomyorthoses, and particularly relates to a personalized prosthesis for accurate resection pelvic tumor by computer aided design and a manufacturing method of the personalized prosthesis.The manufacturing method includes the following steps that complete pelvic data is collected, a three-dimensional model of a pelvis is established, ifno hip joint replacement is required, an osteotomy position can be directly determined,the personalized prosthesis is designed, if hip joint replacement is required, when an acetabulum is designed onthe personalized prosthesis, when an opposite acetabulum is normal, a prosthesis acetabulum can be designed according to parameters of the opposite acetabulum; when the opposite acetabulum is abnormal, a prosthesis is designed according to normal parameters; and the prosthesis ismanufactured by combining position and directions of fixing nails and an osteotomy knife. The manufacturing method has the beneficial effects that accurate tumor resection and personalized prosthesis positioning are achieved, an autogenous bone of a patient is retained by the prosthesis to the greatest extent, stability of the prosthesis is increased, rapid growth of the interface between the prosthesis and the bone is facilitated, at the same time, the function of the pelvis is ensured to the greatest extent, operation of orthopedic tumor resection and prosthesis replacement operation is simplified, and accuracy of the operation is improved.