Disclosed according to various embodiments are a method for performing an observed time difference of arrival (OTDOA)-related operation by a terminal in a wireless communication system, and an apparatus therefor. Disclosed are a method for performing an OTDOA-related operation by a terminal, and an apparatus therefor, the method comprising the steps of: receiving a first positioning signal from a first base station; receiving a second positioning signal from a second base station; measuring a first phase difference between reference signals included in the first positioning signal, and a second phase difference between reference signals included in the second positioning signal; and feeding back, to the first base station, positioning information including the difference value between the first phase difference and the second phase difference.