The invention relates to a method for preparing a nanometer hydroxyl apatite powder by utilizing hydrothermal solution, which pertains to the chemical field. Cheap calcium nitrate and phosphate which are easy to purchase in the market are taken as raw materials, the two saline solutions are mixed in accordance with certain Ca / P ratio, after adjustment and mixing by using ammonia, the pH value of the suspension comes to a certain range and then the suspension is put into a reaction kettle; under the conditions of certain stirring speed, heating temperature and holding time, reaction happens and hydroxyl apatite is generated; and the acicular or bulbiform nanometer hydroxyl apatite powder is obtained after filtration, being cleaned by a certain solvent and drying under certain conditions. The preparation method is simple and easy to be operated and has good repeatability; the obtained power has high purity and narrow particle size range and is suitable for being popularized and applied in various fields such as hard tissue repair, wastewater treatment, chromatography filler, and the like.