A double-directional machining laser machine tool includes a focused laser source, a lifting platform, a motion platform, a rotating platform, a height sensor, a vision module, and a control device. The control device drives, according to a distance detected by the height sensor, the lifting platform to lift the focused laser source up or down, and drives, according to an image, the motion platform to displace the bearing table, so as to enable a first laser beam outputted by the focused laser source forms a first recessed hole at a predetermined position on a first surface of a workpiece. The control device drives the rotating platform to rotate the workpiece, so as to enable the first laser beam forms a second recessed hole on a second surface of the workpiece, and the first recessed hole is in communication with the second recessed hole, so as to form a deep hole.