The invention provides a sulfur and arsenic containing difficult-to-treat gold mine gold extraction method. According to the method, firstly, solid active carbon is added for enhancing bacterial oxidation pretreatment; then, after the ore pulp concentration and the pH are regulated, active carbon adsorption is performed for leaching gold. At the biological oxidation stage, the dosage of the solid active carbon is 6g/L to 10g/L; the granularity range is 1mm to 5mm; under the effect of the solid active carbon, the oxidation time of sulfur and arsenic containing difficult-to-treat gold mine biological leaching is greatly shortened; the leaching rate is greatly improved; after the pre-oxidation is completed, the ore pulp concentration and the pH are regulated, and the gold leaching is directly performed; gold and arsenic are recovered through analysis after the gold leaching. The method provides important theoretical and technical guidance for sulfur and arsenic containing difficult-to-treat gold mine biological pre-oxidation and gold leaching.