In this study, we address the challenge of wetting and scaling in membrane distillation (MD) by developing a robust superhydrophobic poly(vinylidene fluoride) (PVDF) hollow fiber membrane. To achieve this, we utilized co-extrusion technology and subsequent fluorination treatment to create micro-nanoscale surfaces. The fabrication process involved extruding a SiO2 suspension onto the outermost layer of a triple-orifice spinneret to create a hierarchical structure, followed by 1H,1H,2H,2H-perfluorooctyltrichlorosilane (FAS) modification to lower the membrane surface energy. This resulted in a highly water-repellant membrane, as evidenced by contact angle measurements of 153°, 147°, and 141° for water, sodium dodecyl sulfate (SDS) solution (0.4 mM), and saline SDS solution (0.4 Mm SDS and 35 wt% NaCl), respectively, indicating increased resistance to liquid penetration. Through direct contact membrane distillation (DCMD) experiments, we demonstrated that the PVDF/FAS membrane exhibited excellent wetting resistance to seawater (3.5 wt% of NaCl) with SDS at varying concentrations. Furthermore, the membrane effectively hindered the CaSO4 scaling by reducing both heterogeneous nucleation and the tendency of bulk crystal deposition on the membrane outer surface. Overall, the developed approach for fabrication of superhydrophobic PVDF hollow fiber membrane presents a promising solution for facile and scalable manufacturing of anti-wetting and anti-scaling MD membranes. This advancement has significant implications for enhancing the practical application of MD technology.