The present disclosure relates to the technical field of communications. Disclosed are a control method, an apparatus, a server and a terminal device of a telepresence conference. The method comprises: a server receiving a conference control policy message sent by a terminal device that is provided with a management permission; the server, based on geographical location information and role information of a conference control object, determining a media stream message corresponding to the conference control object; and the server controlling the media stream message corresponding to the conference control object based on a media type and a conference estate locking trigger condition of conference control content.