As a sub-discipline of field surgery, trauma surgery of naval warfare focuses on the treatment of marine casualties, which is the extension and application of field surgical theories and techniques in the context of naval warfare. Informatization and 3-dimension have been the basic features of modern naval warfare. With the extensive use of high-tech weapons, maritime combat styles and security needs have undergone profound changes. The complexity and diversity of marine trauma injuries have created new opportunities and challenges for the development of trauma surgery. This paper analyzes the marine trauma under the conditions of modern warfare, the characteristics of marine trauma surgical care, and the medical evacuation system of casualty care in naval battle, aiming to promote the research of naval medical support and the development of field surgery.