This paper presents the prism-type holographic optical element (PT-HOE) design for a small-form-factor (SFF) optical pickup head (OPH). The surface of the PT-HOE was simulated by three steps of optimization and generated by binary optics. Its grating pattern was fabricated on the inclined plane of a microprism by using the standard photolithography and specific dicing procedures. The optical characteristics of the device were verified. Based on the virtual image method, the SFF-OPH with the device was assembled and realized.