The present invention relates to a high-frequency treatment device for spinal endoscopic surgery, the device including: a casing; an insert rod extending in a longitudinal direction of the casing; and an electrode tip formed at a front end of the insert rod to apply heat to a treatment part. Accordingly, it is possible to not only immediately remove in-body soft tissues or ligaments that interfere with the visual field of an endoscope in an operation, but quickly stop bleeding, and it is also possible to discharge contaminated substances with a saline solution from a treatment part, thereby allowing an accurate and effective operation.