A novel simple electrothermal desolvation-enhanced dielectric barrier discharge plasma-induced vapor generation (ETD-DBD-PIVG) method has been developed for sensitive Sb determination by atomic fluorescence spectrometry (AFS). In our proposed ETD-DBD-PIVG, 20 μL sample solution was dried first; then, the resulting solution residue was directly converted into molecular volatile species efficiently through the interactions with hydrogen-doped DBD plasma; and finally, it was transported to AFS for detection. It was found that the desolvation process could greatly enhance Sb vapor generation, and the Sb fluorescence signal intensity is almost independent of its speciation, where comparable sensitivity is achieved for Sb(III) and Sb(V), enabling efficient total Sb detection without pre-reduction. Influencing parameters were evaluated in detail, including heating time, discharge gap, solution pH, and flow rates of argon and hydrogen, as well as coexisting ion interference. Under optimized conditions, the limit of detection was calculated as 0.86 μg L-1 (17.2 pg) for Sb. The accuracy of the proposed method was validated by the analysis of certified reference materials of simulated natural water samples and several river water samples. Compared with conventional hydride generation, the new ETD-DBD-PIVG offers an alternative green vapor generation technique with several advantages: (1) it eliminates the use of a sample flow system (e.g., no use of any syringe or peristaltic pump); instead, 20 μL of a sample is directly pipetted onto the glass plate for analysis; (2) it greatly simplifies the sample pretreatment steps as no pre-reduction process is needed; (3) it is sensitive and suitable for volume-limited sample analysis: efficient Sb vapor generation without chemical reducing reagents in ETD-DBD-PIVG enables Sb detection with an absolute limit at the picogram level. All the results demonstrate that the proposed method provides a simple, green, and sensitive method for Sb determination and it can also be extended to other elements such as Cd and As.