Electrocatalytic deuteron-dechlorination of trichloroacetic acid (TCAA) in D2O provides a green route to synthesize commercial acetic-d3 acid-d (AA-d4). Synthesizing AA-d4 with a high Faradaic efficiency (FE) and reaction rate is highly challenging because of the difficult C-Cl bond deuteration of the 2-monochloroacetic-2,2-d2 acid-d (MCAA-d3) intermediate. Here, a quaternary ammonium salt surfactant-modified low-coordination copper electrocatalyst is designed, achieving TCAA-to-AA-d4 with a 91% selectivity, 91% FE and 0.59 mmol h-1 reaction rate at -100 mA cm-2. Mechanistic and kinetic studies reveal that the surfactant enhances the adsorption of MCAA-d3 through electrostatic forces and increases the electron deficiency of Cuδ+ sites, which accelerates electron transfer and promotes C-Cl bond activation, increasing the AA-d4 selectivity. Surfactant-induced low D2O coverage suppresses D2 formation, improving the FE. AA-d4 electrosynthesis (1.84 g) with a 30 mmol h-1 reaction rate and 65% FE at 600 mA cm-2 and deuterated drug applications demonstrate promising potential.