A direction adjustable surgical tissue removal device, including: an insert rod having a stopping step at a front end; a slider slidably coupled to the insert rod, moving forward and backward with respect to the stopping step, and having a punching portion forming a jaw in cooperation with the stopping step; a rotary shaft being a hollow member fixed behind the insert rod and rotated by a user; a pushing rod having a front end fixed to the slider sequentially through the rotary shaft and the insert rod and a rear end extending backward; a spring disposed between the rotary shaft and the rear end of the pushing rod and elastically supporting the pushing rod backward; and a handle accommodating a portion of the rotary shaft and moving the pushing rod forward such that the punching portion is pushed toward the stopping step.