A martensitic stainless steel pipe, which comprises specified quantities of C, Si, Mn, P, S, Cr, Ni, Al, N, Cu, Ti, V, Mo, Nb, B and Ca, and the balance being Fe and impurities, has satisfactory toughness at a high strength of 650 MPa or more by yield strength and also excellent hot workability. Therefore, it can be used as a high-strength martensitic stainless steel pipe for carbon dioxide gas corrosion resistant use, to be used in oil and/or gas well environments containing no hydrogen sulfide but carbon dioxide gas. This high-strength martensitic stainless steel pipe is an inexpensive martensitic stainless steel pipe, which does not require an addition of large quantities of expensive elements such as Ni and Mo, and moreover does not require the control of the content of P to a value less than 0.010% by mass.