As an important part of the bridge structure system, the underwater pile-pier structure usually occurs various defects on its surfaces due to its complex hydrological environment. The existing conventional defect detection approaches exist two aspects of problems: (1) insufficient definition and color distortion of the underwater images, and (2) low efficiency and error-prone. To solve these problems, this paper proposed the target defect detection model by integrating the image-fusion enhancement algorithm and the deep learning algorithm. Firstly, by analyzing the reasons for the degradation of the underwater images, the ACE (automatic color equalization) and CLAHE (contrast limited adaptive histogram equalization) algorithms are selected to enhance the image, respectively. Secondly, the two enhanced images are fused based on the point sharpness weight, and then the fusion results are further sharpened by the USM (unsharp mask) algorithm, thus obtaining the final fused images. Thirdly, 3,200 fused images are taken as the training set, by adopting the YOLOv3 algorithm to train the detection model, and then the training model is validated and tested by the other each 400 fused images, thus building up the target automatic detection model of underwater pile-pier surface defects. Finally, a series of comparison and discussion were conducted to validate the effectiveness of image-fusion and the robustness and effectiveness of the target detection model. The results found that the target detection model has excellent robustness against noise and effectiveness in the surface defect detection. This indicates that the image-fusion approach proposed in this paper can effectively enhance the image features, and the target detection model is feasible, robust, and effective in the automatic detection of surface defects on underwater pile-pier structures.