The purpose of the study was to explore how teachers’ self-efficacy affect their teaching commitment in physical education teaching of the learning field of health and physical education at the elementary school. The study employed qualitative research methods including observation, interview and document analysis. The research participants were one high self-efficacy teacher and one low self-efficacy teacher. Both were measured by the health and physical education teacher self-efficacy scale, and proceeded with the study for one year. The results of the study indicated that teacher self-efficacy affects teaching commitment, and revealed different phenomena as follows: (1) the high self-efficacy teacher did have higher teaching identification than the low self-efficacy teacher because the high self-efficacy teacher revealed deep recognition in teaching and the low self-efficacy revealed blurred one in teaching. (2) the high self-efficacy teacher did have higher teaching contribution than the low self-efficacy teacher; (3) the high self-efficacy teacher did have higher commitment of goal setting and achievement than the low self-efficacy teacher; (4) Due to the professional ability, the high self-efficacy teacher did have higher commitment to continue on the teaching work than the low self-efficacy teacher. Finally this study provided some recommendations to improve the teaching of health and physical education learning flied and suggested the follow-up study in the future.