Iron tailings are solid waste generated after the mining of iron mines, which have caused serious damage to the surrounding ecology and environment and have attracted widespread attention. By analyzing the formation causes, main components, and environmental effect mechanisms of iron tailings, the article systematically elaborates on the degree and mechanism of the harm of iron tailings to water bodies, atmosphere, soil, and ecosystems, and evaluates its impact on human health and sustainable development of society. On this basis, specific prevention and control measures have been proposed to reduce iron tailings emissions, realize resource recycling, and restore ecosystems. Research shows that iron tailings containing heavy metals can widely pollute the environment through dissolution and migration, and have significant biological toxicity effects. The research results can provide a theoretical reference for decision-making departments to formulate scientific and reasonable iron tailings disposal and ecological protection policies. It is recommended to strengthen specific research on the infiltration of toxic and harmful components in tailings in the future, and develop efficient and stable solidification technology, and vegetation-microbial joint restoration models to further reduce the ecological and environmental risks of iron tailings.