Abstract: In order to make a underground treatment of the coal rejects in the coal mine with complicated geological conditions, the paper had an analysis on the m ine coal rejects sources, including the mine gateway driving rejects, coal flow rejects, seam partings, open-off cut rejects, fault rejects and others.The paper provided th e coal rejects treatment methods, including the backfill of the gateway driving, the rejects storage in the chambers and the backfill of mining goaf.The coal rejects treat ment method was applied to Zhaizhen Mine. The practices showed that the ZZ2600/13/20.5BC mode hydraulic powered backfill support could be applied to realize the C oal rejects backfill in the goaf.After the coal rejects from the coal mining face had a primary gravity separation in the mining block and the secondary y-ray separation, t he coal rejects flow would be conveyed to the coal mining face and the coal rejects dumping belt conveyor was applied to backill the coal rejects in the goaf.In the fault and other geological structure zone, the gateway pre-driving technology could be applied to convey the coal rejects to the goaf for backfill.Zhaizhen Mine could realize t he coal rejects treatment of 1 million t annually in the underground mine.With the coal rejects treatment technology applied in the underground mine, the surface coal re jects dumping system was fully dismantled.