The invention discloses a breast oppression device and method. The breast oppression device comprises a mechanical arm, an oppression tray assembly, a breast tray, a pressure sensor, a position sensor, a motor, a transmission assembly and a controller. In order to realize a better image effect in X-ray breast DR (digital radiography), breasts are required to be oppressed and are pressed to be thinand spread, X-rays penetrate the breasts with uniform thickness, and the ideal diagnostic image effect is realized. According to the device, the position sensor can be utilized for detecting oppression thickness, the pressure sensor can be utilized for detecting oppression force, detected data is transmitted to the controller to control the motor, in the process of oppressing the breasts, the device can rapidly move when no pressure exists, can realize slowdown movement when contacted with the breasts and keeps pressure when reaching the pressure value, by means of the variable speed, time isgreatly shortened, efficiency is improved, flexible oppression is realized, psychological pressure of an examiner can be avoided, discomfort of a patient is relieved, and the device can be finely adjusted by a fine tuning knob when in place and has a function of rapid emergency release when encountering outage.