Microplastics (MPs) and per- and polyfluoroalkyl substances (PFASs) coexist widely in lakes and affect ecological security. The coexistence characteristics and adsorption-desorption mechanisms between MPs and typical PFASs were explored in a typical eutrophic shallow lake (Taihu Lake). Polyvinyl chloride (PVC) and polyethylene (PE) are the primary types of MPs in Taihu Lake, with average abundances in water and sediment of 18630 n/m3 and 584 n/kg, respectively. The average concentrations of PFASs in water and sediment are 288.93 ng/L and 4.33 ng/g, with short-chain PFASs (C4-C7) being the main pollutants. Perfluorobutanoic acid (PFBA) in both water and sediment contributed 38.48 % and 44.53 %, respectively, followed by hexafluoropropylene oxide dimer acid (HFPO-DA). The morphological characteristics of MPs influence the distribution of long-chain PFAS in lake water, while the presence of HFPO-DA and perfluorohexanoic acid (PFHxA) in sediment is directly linked to the concentration and size of MPs. A combination of field investigations and indoor experiments revealed that the irreversible adsorption characteristics between MPs and HFPO-DA may promote the high cumulative flux of HFPO-DA in sediment, and the biofilm on the surface of MPs significantly accelerates this accumulation process. The results provide a new perspective on the co-transport behavior of emerging pollutants in aquatic environments.