As the main provider of current medical services, public hospitals bear the medical and health tasks of various cities and make important contributions to protecting the health of residents. Since the implementation of China's new medical reform in 2009, promoting the pilot reform of public hospitals has been one of the important tasks in the medical system. Sanming medical reform dares to be the first, to the people first, from the reform to the present, the reform achievements have been affirmed many times. Sanming medical reform can be summarized as three stages, namely, to cure confusion and stop waste; To establish articles of association and systems; Cure disease, practice the concept of great health. This paper attempts to review the reform process of Sanming medical reform, summarize the feasible experience of medical reform, and point out the feasible road for public hospital reform.