Transfer printing with disperse dyes on cotton fabric modified with an aqueous tolylene diisocyanate derivative (TDD) was discussed in this paper. The effect of the degree of substitution (DS) on color strength (K/S value) of the modified and transfer printed fabric was investigated. The DS of the cotton fabric increased with increases in TDD concentration and curing temperature and time, while the sample whiteness decreased with the increasing curing temperature and time. And the change of structure of the modified cotton fabric was characterized by FT-IR spectra, DSC curves, and SEM images. All of the factors, such as the concentration and molecular weight of poly(ethylene glycol), the DS of the modified fabric, the transfer printing temperature and time would affect the K/S value of the sample. After transfer printing with disperse dye, the K/S value and printing fastness of TDD-modified cotton fabric were higher than those of cotton control fabric, the change of chromatic difference was not obvious, but the tensile strength of the modified fabric was lower than that of original cotton.