Polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/Fs) emitted from municipal solid waste (MSW) incineration have detrimental effects on the ecological environment. This study innovatively invented a high-temperature sampling device for PCDD/Fs, followed by a process tracing experiment conducted in a full-scale MSW incinerator to investigate the formation and migration mechanisms of PCDD/Fs throughout the temperature range (850°C–150°C). The results highlighted the considerable PCDD/F level of 0.446 ng I-TEQ Nm−3 at the @1 furnace outlet (850°C). The distribution characteristics of PCDD/Fs suggested a prevalence of high-temperature homogeneous reactions in the flue zone between sites @1 and #1 (850°C–600°C). In the low-temperature zone, de novo synthesis emerged as the dominant formation mechanism, primarily occurring near the @2 superheater outlet (∼368°C) and inside the SCR system (∼230°C). The impact and removal efficiency of individual air pollutant control devices on PCDD/Fs was systematically analyzed, yielding an overall PCDD/F reduction of 99.7%. Remarkably, the buffering effect of economizer, the co-removal of semi-dry deacidification system, and the adsorption-filtration effect of activated carbon injection and fabric filter individually reduced PCDD/F concentrations by 23.9%, 35.3%, and 99.7%, respectively; while de novo synthesis inside the SCR system negatively impacted PCDD/F removal, demonstrating an efficiency of −43.2%. Consequently, these comprehensive insights inspired industrial operation optimization and ultra-low PCDD/F emission control.