The effect of CO2 on thermoplastic polyurethane (TPU) hydrogen bond structure was studied by FT-IR at high pressure. The effect of CO2 annealing at low temperature on the TPU crystallization and tensile strength was studied by XRD and SEM. The results show that a Lewis acid-base interaction occurs between CO2 and polar groups of TPU, and the hydrogen bond degree of TPU is decreased by this interaction. The crystallization degree of TPU is increased due to CO2 induced crystallization. The tensile strength of TPU is enhanced with increasing crystallization. The tensile strength of TPU with slight foaming after CO2 annealing is higher than that without foaming.