Silicon-based anode materials are attracting considerable attention due to their high specific capacity for further improving the energy density of lithium-ion batteries (LIBs). Among them, silicon monoxide (SiO) has a good balance between high specific capacity and cycling lifespan, which is increasingly valuable in the market of lithium-ion batteries. However, its poor initial coulombic efficiency (ICE) severely impedes the commercialization of SiO. Although prelithiation and surface carbon coating are considered effective methods to reduce irreversible consumption during the initial lithiation process, the synergistic relationship between prelithiation and carbon coating has not yet been confirmed. Herein, we used LiH as solid-phase prelithiation reagent and acetylene as carbon source for carbon coating to improve the ICE as well as cyclic stability of SiO anode. Results show that the process sequence of pre-lithiation and carbon coating has a significant impact on regulating the internal lithium silicate components and the microcrystalline size of silicon and lithium silicates. A prioritizing carbon layer coating subsequent to prelithiation can achieve physical barrier effect, effectively regulating the prelithiation reaction process to refine the internal silicon and lithium silicate crystal material, and avoiding the formation of lithium-poor Li2Si2O5 phase. The obtained SOC-P sample exhibits a superior ICE of 88.1 % and a stable irreversible capacity of 842.9 mAh/g after 200 cycles. This work provides practical reference idea for solving the low initial efficiency issue of SiO anode material.