A hearing aid electrical contact structure and a hearing aid are provided. The hearing aid electrical contact structure includes: a housing, wherein the housing includes a front section and a rear section connected to each other; the rear section is used for accommodating a battery and at least a part of a flexible circuit board; an outer side surface of the rear section has at least two side holes; a conductive contact sheet is assembled in each of the at least two side holes, and the conductive contact sheet is electrically connected to a pad of the flexible circuit board; an outer surface of the conductive contact sheet realizes a transition with the outer side surface of the rear section. The hearing aid electrical contact structure has a smooth surface without any groove structure or convex structure.