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High-pressure groundwater brings great challenges to the construction of mountain tunnels. Hence, controlling and discharging groundwater are two key problems that must be addressed before constructing tunnels in high-pressure and water-rich region. Fluid–solid coupling seepage analysis method is used to analyze the variation of displacement, stress and pore water pressure of the tunnel. A waterproof and drainage method suitable for tunnels in high-pressure and water-rich region is proposed. Curtain grouting plays a dual role in waterproof and reinforcing surrounding rock. Decompression drainage holes are designed in order to further reduce the pore water pressure acting on the initial lining. The thickness of grouting circle, the permeability coefficient ratio and the decompression drainage holes distribution rate of the initial lining are the main factors that affect the waterproof and drainage effect of tunnels in high-pressure and water-rich region. Suggested parameters on waterproof and drainage measures for tunnels in high-pressure and water-rich region are given after comprehensive analysis, which can provide basis for the technology on high-pressure groundwater treatments and constructions of underground engineering under complex geological conditions. [ABSTRACT FROM AUTHOR]