For large-scale selective laser melting (SLM) additive manufacturing technology, three main problems severely restrict its development and application, namely the residual stress, defects, and columnar grains with anisotropy. To overcome these problems, a new method is proposed by combining SLM with ultrasonic impact treatment (UIT) technique. This study explores the feasibility of UIT assisted SLM, as well as the effect of UIT on the residual stress, defects and β grains of Ti-6Al-4V alloy sample. The results indicate that after the application of UIT during SLM, residual stress can be largely reduced and defects can be hammered flat and even eliminated. Meanwhile, the epitaxial growth of columnar grains is prevented, and fine equiaxed grains are formed due to plastic deformation and recrystallization.