The utility model relates to the technical field of oil field remedial work, and especially relates to a hydraulic lifting type oil pipe pillow. A hydraulic motor and a guide rail bracket are fixed on a pedestal of a hydraulic lifting apparatus, the hydraulic motor is connected with a drive sprocket mechanism, a tensioning wheel mechanism is fixed on the middle part of the guide rail bracket, a driven sprocket mechanism is fixed on the top part of the guide rail bracket, a chain passes by the driven sprocket mechanism, the driven sprocket mechanism and the tensioning wheel mechanism, a limiting block is disposed in a guide rail of the guide rail bracket, a pulley is arranged in the guide rail of the guide rail bracket and is connected with the chain, and the pipe pillow is arranged on the pulley. By using the hydraulic lifting type oil pipe pillow, the effects of reducing labor intensity of workers, raising working efficiency and being safe and reliable in working process are achieved, and the disadvantages that an oil pipe needs to be carried from a pipe bridge to a wellhead working platform during pipe column descending in conventional remedial work, and thus the labor intensity is large are overcome.