Disclosed are a vehicle-to-everything (V2X) service processing method and apparatus and a V2X system. The V2X service processing method includes that: a terminal device obtains pre-configuration information or V2X configuration information of a target area, and sends and/or receives a corresponding V2X service in the target area by using a licensed spectrum or an unlicensed spectrum according to the pre-configuration information or V2X configuration information of the target area. Embodiments of the present invention solve the problem in the existing LTE V2X communication that the V2X service has a poor continuity and is interrupted since the vehicle is usually in a moving process.
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