The purposes of this study were to survey the relationship between emotional labor and counseling self-efficacy of teacher-counselors in elementary schools. A questionnaire was distributed to all current elementary school teacher-counselors in Taiwan in light of the stratified random sampling process. The effective returning questionnaires were 205. Descriptive statistics, MANOVA, Pearson productment correlation and multiple regression analysis were conducted as study methods. The results of this study are concluded as follows. 1. The perception of emotional labor among teacher-counselors in elementary schools remained high intermediate stage. 'Regulations of emotional displays' occupied the highest among all; while 'surface acting' was the lowest. 2. The perception of counseling self-efficacy among teacher -counselors in elementary schools showed a high intermediate trend. 'Efficacy of self-awareness and esteem' had the most positive performance. On the other hand, 'Efficacy of crisis intervention' maintained the lowest one. 3. Junior teacher-counselors in elementary schools had higher emotional labor than seniorities. 4. The higher performed teacher-counselors in emotional labor dimension also showed a positive correlation in terms of the counseling self-efficacy dimension. 5. Teacher-counselors in genuine expressions of emotional labor dimension performing more positive attitude showed a better self-efficacy.