A negative pressure massage device which includes a massage stick, an external negative pressure device and a communication pipe. The massage stick includes a stick body, an air channel in the stick body, a negative pressure connection hole and an air suction opening formed at both ends of the stick body and communicated with the air channel. The external negative pressure device is installed separately from the massage stick and includes a housing and a negative pressure drive/control module. The negative pressure drive/control module includes a controller, a negative pressure generating component, a pressure relief assembly and an air pipe assembly with a negative pressure communication hole formed on the housing. The ends of the communication pipe are communicated with the negative pressure connection hole and the negative pressure communication hole. This disclosure provides various negative pressure massage effects and improves the ease of operation.