The invention relates to the technical field of concrete pouring of the construction industry, in particular to a rolling ball type concrete pouring structure and method for an overground large special-shaped stiff column. According to the method, a flexible pouring guide pipe is connected in series with a steel wire through small steel rings in a full-length mode, through the dead weight of a concrete ball, the flexible pouring guide pipe is released to the bottom of the special-shaped column in a rolling mode along string pipes located on the inner wall and inflection point portions of a column body by means of the steel wire, and then a top connecting opening of the guide pipe is connected with a discharge outlet of a hopper or a pump pipe; and in the pouring process, the burying depth of the discharge outlet of the guide pipe is kept until pouring is completed. According to the structure and method, the guide pipe is adopted for pouring construction, the concrete pouring conveying path is independent and is prevented from being separated due to space blocking of steel bars, steel ribs and the like in the column body, and the blending quality and performance of concrete in the pouring position are guaranteed. Tower crane hopper feeding, or mechanical pumping or other ways can be flexibly selected for column body concrete pouring according to field conditions, so that the efficiency of column body concrete pouring is improved.