The invention discloses an integrated reactor for removing trace antibiotics in composite polluted surface water and a removing method of the integrated reactor. The reactor comprises a feeding pump,a first conventional flocculation tank, a second conventional flocculation tank, a carrier flocculation mixing tank, a carrier flocculation reaction tank, an inclined plate settling tank and an ultra-filtration tank which are sequentially connected; sludge discharge pipes are separately arranged on the bottoms of the first conventional flocculation tank, the second conventional flocculation tank,the carrier flocculation mixing tank, the carrier flocculation reaction tank, the inclined plate settling tank and the ultra-filtration tank; each sludge discharge pipe is connected with a hydrocyclone through a sludge circulating pump; and each hydrocyclone is positioned above the carrier flocculation mixing tank. According to the reactor disclosed by the invention, conventional flocculation, carrier flocculation, inclined plate sedimentation, ultrafiltration membrane filtration and the like are combined, the trace antibiotics in the composite polluted surface water are removed through the synergistic effect among different devices, and meanwhile, removal of conventional pollutants is ensured; and the whole reactor is small in occupied area, low in running cost, high in automation degreeand convenient to operate and manage.