Pearl oyster Pinctada fucata martensii is an economically important species farmed to produce round nucleated pearl in China. However, pearl oyster shells are commonly exposed to biofouling, which is manually cleaned. This study experimentally evaluates the effects of biofouling cleaning by Siganus fuscescens (Houttuyn, 1782) foraging on growth performance and pearl traits of host pearl oyster P. fucata martensii. Three groups designated as EG1, EG2 and EG3 were set in the experiment. In EG1, biofouling was manually cleaned every 2 weeks and oysters were cultured in natural sea conditions. In EG2, biofouling was cleaned by foraging behavior of S. fuscescens every 2 weeks and oysters were cultured in natural sea conditions. In EG3, oysters were farmed in the net cage where S. fuscescens were stored. The survival rate of EG2 was higher than those of EG1 and EG3 and the daily growth rates of length and weight of shell and the thickness and weight of pearl of EG3 were significantly larger than those of EG1 and EG2. The survival rate, daily growth rates of the length and weight of shell, and thickness and weight of pearl were not significantly different between EG1 and EG2. This study suggested S. fuscescens foraging could evidently improve survival of host pearl oyster, which is promising to improve pearl yield in pearl oyster farms in China.