Ca2+-activated K+ channel KCa1.1 has a potential as a prognostic tumor marker in several solid cancers. Three-dimensional (3D) in vitro cell culture system mimics in vivo solid tumors resistance to chemotherapy in tumor microenvironment (TME). In the MG-63 cells isolated from 3D spheroid models, KCa1.1 activator-induced hyperpolarizing responses were largely enhanced, compared with adherent 2D monolayer cells. In lipid-raft-enriched compartments of MG-63 spheroids, the protein expression level of KCa1.1 was significantly increased, without changing its transcriptional level. The spheroid formation caused down-regulation of the ubiquitin E3 ligase FBXW7, and its inhibition in 2D monolayer cells increased the KCa1.1 protein expression. In the MG-63 spheroids, treatment with the KCa1.1 inhibitor suppressed chemoresistance ability to paclitaxel, doxorubicin, and cisplatin. Of several multidrug resistance ABC transporters, a multidrug resistance-associated protein, MRP1 was up-regulated in the MG-63 spheroids, and chemosensitivity was recovered by the KCa1.1 inhibition. Taken together, pharmacological inhibition of KCa1.1 may be an attractive new strategy for conquest of chemotherapeutics synergizing in the hypoxic TME of KCa1.1-positive solid cancers.