This pants-type disposable diaper (1A) has a surface sheet (2) disposed so as to cover the skin-contacting surface side of an absorbent body (4) and the non-skin-contacting surface side of both side ends (4e) and both side portions (4S), and has leakage prevention cuffs (6, 6) that are disposed in an abdominal side portion and back side portion so as to extend from the non-skin-contacting surface side of an absorbent main body (5) to the skin-contacting surface side, and are configured to stand erect in what constitutes a crotch portion (C) when worn. The absorbent main body (5) has, in a region that is spaced inwardly from the side end (4e) of the absorbent body (4), fixing portions (67) for the leakage prevention cuffs (6). The surface sheet (2) has, in the portion covering the skin-contacting surface side of the absorbent body (4), an uneven region (2a) in which protrusions are formed in a scattered dot pattern, and the portion covering the non-skin-contacting surface side of both side portions of the absorbent body (4) is a flat even region (2b) that does not have recesses or protrusions.