A method for the determination of multiple elements in toothpaste by ICP-MS was established. Microwave digestion was used for sample pre-treatment. Rh and Re were used as the internal standard. The contents of 23 kinds of elements in toothpaste, including Mg, Al, K, Ca, Ti, Cr, Mn, Fe, Ni, Cu, Zn, As, Se, Sr, Mo, Ag, Cd, Sn, Sb, Ba, Hg, Tl and Pb were determined by ICP-MS. The internal standard method was used for quantitative analysis. The results show that the correlation coefficient of the calibration curve is over 0.998 8 for all the analyzed elements. RSD of repeatability test ranges from 2.5% to 9.5% (n=6). The recovery of low, medium and high concentration (n=9) ranges from 85.6% to 105.9%. The method is sensitive, specific, simple, rapid and accurate. It is suitable for the determination of multiple elements in toothpaste.