Hard roof top-cutting and gob-side roadway retention is an effective way to improve the panel recovery ratio and reduce ground pressure. Based on the condition of Pingmei No.2 Mine, this paper establishes a stability mechanics model for the roof in a trapezoidal top-cutting roadway with inclined coal seam, in order to analyze the factors influencing the stability of the roof. This paper studies the deformation characteristics and control mechanism of the surrounding rock in a trapezoidal top-cutting roadway, and proposes targeted stability control technologies for the surrounding rock. The results showed that: (1) in a trapezoidal top-cutting roadway in the hard roof with inclined coal seam, the tensile stress of the uncut roof was inversely proportional to the coal seam dip angle, roof thickness and top-cutting height, while it was proportional to the top-cutting angle. According to actual engineering conditions, the top-cutting angle and height of the roof of the 21,100-panel were determined to be 10° and 5.0 m, respectively; (2) the special structure of the trapezoidal roadway led to asymmetric stress distribution in the surrounding rock, especially in the roof and rib. Using top-cutting, the pressure relief reduced the roof stress from 6.73 MPa to 2.04 MPa, the high stress zone moved to the inside of the solid coal, and the roof slid and deformed along the top line, showing characteristics of a “large deformation on the top side”; and (3) high-strength long anchor cables were used to reinforce the roof on the cut top side. Telescopic U-shaped steel and windshield cloth were used to block gangue and prevent wind leakage in the roadway. The on-site industrial test measured the maximum subsidence of the roof at 120 mm, and the maximum layer separation was 29 mm. Relative to non-top-cutting methods, the roof and sides showed significantly reduced deformation throughout the mining operations, which verified the reliability of the control technology.