The safe disposal and utilization of municipal solid waste incineration fly ash (MSWI FA) has emerged as a crucial challenge, primarily due to elevated levels of heavy metals and chlorides. In this study, the influence of key factors in different pretreatment methods on the physicochemical properties of MSWI FA was analyzed, and the effects and mechanism of different pretreatment methods on the resulting geopolymers were studied. Under the conditions of a liquid-solid ratio (L/S) of 7 mL/g, a rotational speed of 500 r/min, and a stirring time of 20 min, the alkali washing with 1 mol/L NaOH solution exhibited better effect than water washing. The total content of chlorides and the content of soluble chloride in AFA (MSWI FA with alkali washing) were 1.53 % and 0.85 %, respectively. Alkali washing had a greater influence on the migration of heavy metals from MSWI FA to filtrate than water washing. Meanwhile, alkaline washing exhibited better effect in calcium retention and sulfur removal. The pretreatment process enhanced the gel formation in geopolymers, subsequently exerting a significant influence on the compressive strength and leaching concentration of heavy metals. Thermogravimetric analysis showed the bound water content in AG (8.46 %) was the greatest in all simples, indicating that exerted the most pronounced impact on the gel formation during geopolymerization. And, the lower ratio of Si-O-Na to Si-O-T in AG (0.20) indicated a longer geopolymeric chains, which explained the higher compressive strength of geopolymers during the initial curing period. This article provides a new pretreatment method to promote the resource utilization of MSWI FA.