The invention discloses a tailings disposing and filling method and belongs to the field of tailings utilization and disposal. The method includes: grading tailing pulp to obtain fine-particle tailings pulp and coarse-particle tailings; dewatering the fine-particle tailings pulp and the coarse-particle tailings pulp respectively according to application to obtain fine-particle tailings and fine aggregate and coarse-particle tailings for granulation, mortar and dry-mixed mortar; sintering the fine-particle tailings at high temperature, and adding a binding material into the coarse-particle tailings for granulation, mortar and dry-mixed mortar to obtain coarse aggregate, a mortar material and a dry-mixed mortar material; mixing the coarse aggregate and the fine aggregate, conveying the samedown into a well through a filling well, conveying the mortar material down into the well through a filling pipe, mixing, and then filling; conveying the dry-mixed mortar material down into the well to be mixed with pipe flushing water to prepare a dry-mixed mortar material mixture, mixing the mixture with the aggregate, and filling. By the method, treating and hardening time of the filling material can be shortened, strength of a filled body can be enhanced, downhole operation conditions can be improved, and pollution of underground environment can be reduced.