The present invention discloses a video monitoring meeting system comprises client, front-end equipment, a monitoring business server and a flow medium server, wherein the monitoring business server is used for setting up a meeting room according to the requirement of the client as a chairman part; when the chairman part starts meeting, the flow medium server is noticed to distribute mixed sound points, and to add the client and / or front-end equipment as meeting members into the mixed sound points; the flow medium server is used for distributing the mixed sound points according to the notice of the monitoring business server, and the client and / or front-end equipment as the meeting members is added into the mixed sound points to receive the sound frequency flows from each meeting member; and after the sound frequency flows are sounded in a mixing way by the mixed sound points, the sound frequency flows are distributed to corresponding meeting members. In addition, the present invention also discloses a realizing method of meetings in the video monitoring system. The technical scheme disclosed by the present invention can realize a meeting function in the video monitoring system, and thus, the invest cost is saved.