Polytetrafluoroethylene (PTFE) membranes have great potential for treating wastewater in harsh environment due to their excellent stability. However, difficulties in the pore structure optimization and functional modification of biaxial stretched PTFE membrane have limited its further applications in liquid separation. Herein, we presented a simple and efficient approach for the preparation and hydrophilic modification of electrospun PTFE nanofiber membranes. This method involved optimizing the pore structure of PTFE nanofiber membranes through adjusting the mass ratio of the spinning carrier polyethylene oxide (PEO) and PTFE, followed by introducing the acetalized polyvinyl alcohol (PVA) on the membrane’s pore surface to improve the hydrophilicity. The average pore size changed from 288.5 to 161.3 nm, while the water contact angle reduced from 135.7° to 50.9°, which not only increased the water permeate flux from 68.56 to 1056.16 L·m−2·h−1, but also achieved high rejection rates of 99.3 % and 97.3 % for carbon (1 μm) and SiO2 (100 nm) particles respectively. Meanwhile, the obtained PTFE nanofiber membrane also exhibited excellent hydrophilic stability after long term exposure to harsh environments (pH=2 HCl, pH=12 NaOH, 1000 ppm NaClO) and 100 friction cycles (5 g weights on 1000 mesh sandpaper). This approach of preparing hydrophilic PTFE nanofiber membranes showed significant potential for practical applications in wastewater treatment.