The invention relates to a medical high-strength Ti-6Al-4V alloy wire and a preparation technique and application thereof and belongs to the technical field of metal material preparation. The medical high-strength Ti-6Al-4V alloy wire comprises, by mass, 5.9%-6.3% of Al, 4.0%-4.3% of V, 0.10%-0.16% of O, 0.14%-0.22% of Fe and the balance Ti. The preparation technique comprises the steps of smelting, forging, two times of large-deformation rolling, cold drawing, intermediate annealing, temperature-control hot drawing, stress relief annealing of a semi-finished product, one-pass cold drawing, straightening and cutting-off, stress relief annealing, polishing and obtaining of a finished product. The medical high-strength Ti-6Al-4V alloy wire and the preparation technique and application thereof have the beneficial effects that the Ti-6Al-4V alloy wire is prepared through the technical process that heat machining, cold drawing and temperature-control hot drawing are combined, and the Ti-6Al-4V alloy wire has the advantages that the mechanical performance is high, the dimensional precision is high, the surface smoothness is high, and the structure property uniformity is good.