Background: DNA methylation (DNAm), is an important transcriptional regulation mechanism, relevant to various diseases. Twin-to-twin transfusion syndrome (TTTS) is a complication in twin pregnancies resulting from disproportionate blood circulation. Survivors of TTTS show a high risk of neurodevelopmental abnormalities, particularly in the hippocampus, which is important in learning and memory. Here, we investigate gene expression and DNAm in hippocampus tissues of TTTS specimens. Methods: DNAm and gene expression levels were compared among the three groups: 10 recipients, 10 donors, and 10 matched control, using methylation microarray. We further explored the immune infiltration of six immune cell sub-populations using EpiDISH analysis. The methylated sites related to immune cell infiltration were identified using the WGCNA package. We explored the core methylation genes in the protein-protein interaction network using the MCODE plugin in Cytoscape software. Results: There were 188 differential methylation sites among three groups. Based on WGCNA, we found that the turquoise module containing 174 CpG sites is significantly related to the immune infiltration level. And four hub genes correlated with immune infiltration level, namely, PTPRJ, FYN, LYN, and AKT1, and were identified using gene sub-network analysis. Conclusions: We identify the four hub methylation genes related to immune infiltration in the TTTS. The molecular function of hub genes is still explored in the future research.