The invention relates to a lithium extraction process and in particular discloses a method for separating and extracting lithium from lithium sulfate coarse ore. The method comprises the steps of removing magnesium, mixing lithium sulfate coarse ore powder with water, adding calcium oxide, reacting, ageing, and performing solid-liquid separation to obtain a first solution and solid residues; removing sulfate radicals, adding calcium chloride into the first solution, reacting, ageing, and performing solid-liquid separation to obtain a second solution and solid calcium sulfate; calcifying, adding sodium carbonate into the second solution, reacting, ageing, and performing solid-liquid separation to obtain a third solution and solid calcium carbonate; concentrating, adjusting the pH value of the third solution to be 3-8 by using hydrochloric acid, evaporating and concentrating, separating out solids, and performing solid-liquid separation to obtain a primary concentrated solution; extracting lithium carbonate, adding sodium carbonate into the primary concentrated solution, reacting, ageing, and performing solid-liquid separation to obtain solid lithium carbonate. According to the method, the energy consumption is low; a used impurity removal precipitant is low in price and easily available, and an impurity removal product, namely calcium carbonate can be recycled; the process is simple and easy to operate, the magnesium removal efficiency is high, and the lithium yield is high.