The safe and smooth flow of coal mine roadway is of great significance for the safe mining of coal resources and the high production and high efficiency production of mines. In view of the problems of two weak structures, prominent roof water surge and severe mining impact in the surrounding rock control of the narrow coal pillars along the narrow coal pillar of Xinyi Mine of Shandong Energy Mining Group, the asymmetric support of the roof high-strength anchor cable was proposed. Comprehensive control measures for the reinforcement of two sets of high-strength anchors and effective waterproofing of the roof were given. The engineering practice showed that the deformation of the roadway along the roadway tended to be stable after about 53 days of the support scheme, which provided a reference for the surrounding rock control of similar roadway.