A removal and replacement tool for vehicles contains a first body including a chamber, a second hole, and a third hole; a grip set including a second body and a push piece, the push piece including an arcuate notch; at least one first returning spring, one end of which is fixed in the chamber, and another end of which abuts against two sides of the second body; a shaft member disposed in the chamber, and its one end extending out of the first body from the first hole; a second spring, one end of which abuts against the chamber, another end of which is biased against the shaft member; an engaging member including a first side wall and a second side wall; a rotary knob including a rotating portion and a rod portion connecting with the rotating portion.