A method for privacy protection in a video call, which is applied in a video call between a first terminal and a second terminal, comprising: judging whether to perform privacy protection on the first terminal; characterized by when determining to perform privacy protection on the first terminal, playing a substitute video in a media server as a video of the first terminal to the second terminal, wherein said step of playing a substitute video in a media server as a video of the first terminal to the second terminal comprises: transmitting (302, 306) a first control instruction to a video gateway of the first terminal, wherein the first control instruction is used to control the video gateway of the first terminal to set a remote address of video transmitting address information of the first terminal to be invalid; transmitting (303, 307) a second control instruction to the media server, wherein the second control instruction is used to control the media server to analyze the substitute video and the substitute video transmitting address; and transmitting (305, 309) a third control instruction to a video gateway of the second terminal, wherein the third control instruction is used to control the video gateway of the second terminal to set a remote address of video receiving address information of the second terminal to be the video transmitting address of the substitute video which is analyzed by the media server. judging whether to perform privacy protection on the first terminal; characterized by when determining to perform privacy protection on the first terminal, playing a substitute video in a media server as a video of the first terminal to the second terminal, wherein said step of playing a substitute video in a media server as a video of the first terminal to the second terminal comprises: transmitting (302, 306) a first control instruction to a video gateway of the first terminal, wherein the first control instruction is used to control the video gateway of the first terminal to set a remote address of video transmitting address information of the first terminal to be invalid; transmitting (303, 307) a second control instruction to the media server, wherein the second control instruction is used to control the media server to analyze the substitute video and the substitute video transmitting address; and transmitting (305, 309) a third control instruction to a video gateway of the second terminal, wherein the third control instruction is used to control the video gateway of the second terminal to set a remote address of video receiving address information of the second terminal to be the video transmitting address of the substitute video which is analyzed by the media server. transmitting (302, 306) a first control instruction to a video gateway of the first terminal, wherein the first control instruction is used to control the video gateway of the first terminal to set a remote address of video transmitting address information of the first terminal to be invalid; transmitting (303, 307) a second control instruction to the media server, wherein the second control instruction is used to control the media server to analyze the substitute video and the substitute video transmitting address; and transmitting (305, 309) a third control instruction to a video gateway of the second terminal, wherein the third control instruction is used to control the video gateway of the second terminal to set a remote address of video receiving address information of the second terminal to be the video transmitting address of the substitute video which is analyzed by the media server.