The invention provides an endoscope and an insertion head end thereof. The insertion head end comprises a head end main body, a forceps lifting device, a pull rope and a sealing component, wherein a mounting space, an instrument channel and a pull rope channel are formed in the head end main body; the end part of the pull rope is fixed with the forceps lifting device to pull the forceps lifting device to rotate to drive a surgical instrument; a blocking piece in the sealing component is arranged and fixed to the outside of the pull rope in a penetrating manner, a sealing ring is annularly formed and fixed on the outer periphery of the blocking piece, and the outer periphery of the sealing ring is jointed with the inner wall of the pull rope channel; and an elastic piece generates elastic deformation when being pulled by the pull rope, so as to drive the sealing ring to seal a port of the pull rope channel. Through the cooperative action of the blocking piece and the sealing ring, effective sealing can be carried out between the sealing ring and the pull rope, between the sealing ring and the pull rope channel, and at the port of the pull rope channel, so as to prevent liquid substances such as blood, body fluid and the like of patients from entering the endoscope through the gap between the pull rope and the pull rope channel, prevent infection of patients, ensure the effectiveness of subsequent disinfection of the endoscope, and ensure the safety of an endoscopic surgery.