Objective: To observe the effect of acupuncture assisted three-step analgesic therapy for cancer pain and its influence to quality of life. Methods: A total of 100 patients with cancer pain who were admitted to Shanghai Affiliated Hospital of Traditional Chinese Medicine of Shanghai University of Traditional Chinese Medicine and Shanghai Eighth People's Hospital from May 2016 to October 2018 were randomly divided into two groups with 50 cases in each group. Patients in the control group were treated with three-step analgesic therapy. Patients in the observation group were treated with acupuncture on the basis of the control group. Patients in the two groups were treated for continuous 7 days. After treatment, the clinical total effective rate of the two groups were compared. Moreover, the pain relief time, digital pain intensity scale (NRS) score, and quality of life (physical function, psychological function, social function, living environment, general feeling) were compared between the two groups. The changes of serum pain mediators [Serotonin (5-HT), endodermin-1 (ET-1), prostaglandin E2 (PGE2)] in the two groups before and after treatment were compared. The occurrence of adverse reaction in the two groups were analyzed. Results: In the observation group, the total effective rate was 92% (46/50), which was significantly higher than that of the control group, 78% (39/50). Moreover, the difference was statistically significant (P < 0.05). The NRS scores of the two groups after treatment significantly decreased comparing with those before treatment respectively (P < 0.05). Moreover, the decreasing degree of the NRS score in the observation group was more obvious than the control group (P < 0.05). The pain relief time of the observation group after treatment was significantly shorter than that of the control group (P < 0.05). The scores of physical function, psychological function, social function, living environment, and general feeling of the two groups after treatment increased comparing with those before treatment respectively (P < 0.05). Moreover, the increasing degree in each aspect of the observation group was more obvious than the control group respectively (P < 0.05). The 5-HT, ET-1 and PGE2 levels of the two groups after treatment significantly decreased comparing with those before treatment respectively (P < 0.05). Moreover, the decreasing degree in each mediator of the observation group was more obvious than the control group respectively (P < 0.05). There were no significant changes in blood pressure, heart rate, blood routine test, ECG, liver and kidney function in the two groups before and after treatment. The incidence rate of adverse reaction of the observation group was 6% (3/50), which was significantly lower than that of the control group, 24% (12/50). Moreover, the difference was statistically significant (P < 0.05). Conclusions: Acupuncture assisted three-step analgesic therapy could effectively inhibit the expression of paincausing substances in the body of patients with cancer pain, improve the analgesic effect, relieve the pain of patients, improve the quality of life of patients, and could significantly reduce the adverse reaction caused by western medicine. [ABSTRACT FROM AUTHOR]