The coexistence of multiple defect categories as well as the substantial class imbalance problem significantly impair the detection of sewer pipeline defects. To solve this problem, a multi-label pipe defect recognition method is proposed based on mask attention guided feature enhancement and label correlation learning. The proposed method can achieve current approximate state-of-the-art classification performance using just 1/16 of the Sewer-ML training dataset and exceeds the current best method by 11.87\% in terms of F2 metric on the full dataset, while also proving the superiority of the model. The major contribution of this study is the development of a more efficient model for identifying and locating multiple defects in sewer pipe images for a more accurate sewer pipeline condition assessment. Moreover, by employing class activation maps, our method can accurately pinpoint multiple defect categories in the image which demonstrates a strong model interpretability. Our code is available at \href{https://github.com/shengyu27/MA-Q2L}{\textcolor{black}{https://github.com/shengyu27/MA-Q2L.}