In this study, an optical fiber probe with an extremely short integrated temperature sensor for high-power laser ablation was proposed and successfully fabricated. Both optical mode and wavelength multiplication were performed simultaneously using a double-clad fiber with a wavelength-division multiplication technique. The wavelength shift with temperature showed a linear relationship with a sensitivity of 10 pm/°C. High-power laser irradiation of 1000 mW or more using multimode transmission and fine temperature monitoring using single-mode transmission were performed simultaneously with a system response time of a few seconds. The laser wavelength selection and power variation can increase the variability of the heating region required for medical applications.