Traditional deformation monitoring suffers from issues such as the point-based representation of surfaces and low measurement efficiency. Moreover, the majority of researchers study the deformation of slopes using methods such as 3S technology, synthetic aperture radar interferometry, distributed fiber optic sensing technology, etc. Based on this, a slope stabilization structure deformation monitoring method based on 3D laser scanning technology is proposed. First, with the slope stabilization structure of Caihong Road as the engineering background, point cloud data of the slope stabilization structure is obtained using a Trimble SX10 device. Second, the point deformation, overall deformation, and line deformation of the two-phase slope stabilization structure point cloud data are analyzed. Finally, the measurement accuracy of the 3D laser scanning technology is evaluated. The results show that the deformation analysis of points, lines, and surfaces can complement each other, thereby comprehensively assessing the situation of slope stabilization structure deformation. Moreover, the maximum displacement value in the deformation of points, lines, and surfaces is 8.52 mm, which does not exceed the standard, and 93.61% of the point deformation is between −0.76~0.92 mm, indicating that the slope stabilization structure is in a safe and stable state. The independent sample t-test has a test statistic of t = 2.074, verifying that the 3D laser scanning technology and the total station measurement accuracy are highly consistent and can meet the needs of actual engineering. The results of this study can provide a reasonable theoretical and methodological reference for analyzing similar engineering deformation monitoring in the future.