Provided herein is a high-strength stainless steel seamless pipe for oil country tubular goods. The high-strength stainless steel seamless pipe having a yield strength of 862 MPa or more contains, in mass %, C:0.05% or less, Si: 0.5% or less, Mn: 0.15 to 1.0%, P: 0.030% or less, S: 0.005% or less, Cr: 14.5 to 17.5%, Ni: 3.0 to 6.0%, Mo: 2.7 to 5.0%, Cu: 0.3 to 4.0%, W: 0.1 to 2.5%, V: 0.02 to 0.20%, Al: 0.10% or less, N: 0.15% or less, B: 0.0005 to 0.0100%, and the balance Fe and unavoidable impurities, and in which the composition satisfies specific formulas. The stainless steel pipe has more than 45% martensite phase, 10 to 45% ferrite phase, and 30% or less retained austenite phase. The ferrite grains have a maximum crystal grain size of 500 μm or less.