Under the condition of weakly cemented soft rock in Western China, the surrounding rock deformation of gob-side entry is obvious, especially under the influence of fault, and the problem of surrounding rock control becomes increasingly prominent. To solve this issue, this paper firstly studied and obtained the evolution law of the ground pressure appearance of the gob-side entry in the fault area, then put forward the concept of surrounding rock control in the fault area of the gob-side entry, put forward a targeted pressure relief + increase preload + passive reinforcement parallel to the roadway surrounding rock strengthening control scheme, and carried out field applications. The results show that the roof subsidence and mining side heave of the roadway in the fault area increase significantly, accompanied by the characteristics of broken cables, the length of the broken cable is 0.2 m–0.6 m, and the breaking process is divided into multiple breaks. The stress evolution of gob-side entry in fault area presents a stage characteristic of “rapid growth-stable.” The surrounding rock control effect is improved under the bolt cable high pre-tightening support, and the roadway deformation is effectively controlled under the pressure relief + active + passive support, with a good application effect.