A method for processing a media request in a multimedia communication process is provided, including: adjusting, by a multimedia application server, a media request queue according to information contained in a media request message or a media request cancellation message received from a first client; determining all the media requests of which positions in the media request queue are changed due to the adjustment; and sending, to one or more clients corresponding to the media requests of which positions in the media request queue are changed, media request queue position status messages to notify the clients corresponding to the media requests of which positions in the media request queue are changed of updated position status of the media requests. A device for processing a media request in a multimedia communication process is also provided. The demands of various multimedia communication services such as the PoC service can be satisfied well.