A call setup method and terminal in an IP network, in which in response to a request for an outbound call from a first terminal, it is identified whether or not an index matching an identification of a second terminal exists in a matching table. The identification of the second terminal is inputted at the request for the outbound call. If the index matching the identification of the second terminal exists in the matching table, a call initialization message is directly transmitted to the second terminal. In response to call setup, a call state synchronization message is transmitted to a call manager.