The invention discloses a high-efficiency digital optical fiber CDMA (Code Division Multiple Access) repeater and a realizing method. The system consists of a near terminal device and a remote terminal device, and the near terminal device and the remote terminal device communicate with each other through transmitting digital base band signals in optical fibers. The repeater comprises a radio frequency small signal cell, a digital signal process cell, a highly efficient power amplification cell, a duplexer cell, a voltage transformation cell, a monitor cell and the like, wherein the highly efficient power amplification cell adds peak clipping and self-adaptive digital predistortion processes to the digital signal process cell by a symmetric Doherty technology so that the whole device achieves qualified linearity while improving the efficiency. The invention has the beneficial effects of effectively guaranteeing that the linearity index meets the requirements and solving the contradiction of linearity and efficiency of the radio frequency when improving the efficiency of the whole system, and also tracking the power amplification linearity feature changes due to the changes of work conditions and work environments, such as device aging, temperature change and the like, so as to always keep great linear effect.