The invention provides a V-shape air-stripping technology for removing nitrogen and phosphorus of large and medium-sized sewage processing. The technology comprises following steps: introducing sewage, subjecting the sewage to go through a coarse screen to remove the slag, then adding water, lifting by a sewage pump, subjecting the sewage to a fine screen, transporting the sewage to a sand settling pool, transporting the sewage to a hydrolysis acidification pool, transporting the sewage to an integral processing pool of V-shape air stripping reflux and two-grade precipitation, transporting the sewage to a disinfecting pool and finally discharging the sewage if the quality of the sewage meets the standard. In the technology, the integral sewage processing pool of V-shape air stripping reflux and two-grade precipitation substitutes the biochemical reaction pool of A / A / O activated sludge process, the nitrated liquid internal reflux pump pool, the secondary precipitation pool, the sludge internal influx and external influx pump pool, the coagulation reaction pool and the inclined tube precipitation pool, and thus the high efficiency and compactness of removing nitrogen and phosphorus in sewage are achieved. Compared to the conventional processing technology, the V-shape air-stripping technology has the advantages of small occupied area, low investment, little drug consumption, little sludge discharge, low energy consumption, low cost, stable and controllable water quality, and convenient operation management.