The invention provides a water injection high-frequency 
endotherm knife for operations. The water injection high-frequency 
endotherm knife comprises a shell and a 
metal endotherm knife head arranged at the head end of the shell. The endotherm knife head is electrically connected with a circuit board in the shell. The circuit board is connected with a wire arranged at the 
tail end of the shell. The side wall of the shell is provided with an electric resection key and an electric coagulation key which are electrically connected with the circuit board. A 
metal injection 
syringe needle is also arranged at the head end of the shell, or a 
metal injection 
syringe needle replacing the metal endotherm knife head is arranged at the head end of the shell. The 
tail end of the metal injection 
syringe needle is connected with an injection hose, made of insulating materials, in the shell, the side wall of the shell is further provided with a water injection switch structure capable of controlling on-off of the injection hose, and the other end of the injection hose is guided out through the 
tail end of the shell. According to the water injection high-frequency endotherm knife for the operations, tissue 
cutting efficiency and the fine degree can be improved in many ways, fine 
normal tissue like nerves is protected, the 
wound surface blood bleeding and seepage phenomena existing during operations and after operations are reduced, and therefore convenience is provided for surgical operations which are more fine and rapid.