The invention relates to a medical separation and extraction device, which comprises a first container, a second container and a third container, wherein the first container comprises a first outer wall, a first cavity and at least a communication opening penetrating through the first outer wall, the second container comprises a second outer wall, a second adjusting member and a second cavity, thethird container comprises a third outer wall, a third adjusting member and a third cavity, the volumes of the second cavity and the third cavity are correspondingly changed along with the sliding ofthe second adjusting member and the third adjusting member respectively, the second cavity and the third cavity can be communicated with the first cavity respectively through the communication opening, the third container is detachably connected to the first container, and the second container is provided with a port capable of directly extracting blood through an injection needle. According to the medical separation and extraction device of the invention, the whole sucking, separation and extraction process can be realized by only adopting the device under the conditions of liquid collectionwith no use of additional injection needle and sucking storage of the extract, so that the operation is simple, and the pollution risk is reduced.