Abstract: Objective To study the effect of perioperative predictive nursing on complications of patients undergoing gynecological pelvic surgery. Methods A total of 60 patients who underwent gynecological pelvic surgery in our hospital were divided into control group and observation group according to the random number table method. The control group received routine nursing during perioperation, while the observation group was given predictive nursing during perioperative period. The occurrence of complications, postoperative recovery and nursing satisfaction were compared between the two groups. Results The incidence of complications in the observation group was significantly lower, and time of ambulance, anal exhaust and hospitalization were significantly shorter than those in the control group(P<0.05). The satisfaction rate was significantly higher than that in the control group(P<0.05). Conclusion Perioperative predictive nursing can significantly reduce the incidence of complications of gynecological pelvic surgery patients, improve perioperative indicators, and improve patients' satisfaction.