Objective To explore the allocation scheme of the navy forward surgical team (NFST) and to obtain the related technical and tactic indicators on the sea. Methods We borrowed the theory and experience of foreign forward surgical team and conducted service consultation through Brainstorm method and Delphi method; we created the conceptual model of NFST, including three allocation schemes. The professional simulation software ProModel was used to simulate and modify these schemes. Results The first scheme (Scheme 1) was used for one surgical bed, 6 medical staffs and 2 post-surgical beds, with the daily number of surgical patients being 10. The second scheme (Scheme 2) was used for two surgical beds, 10 medical staffs and 4 post-surgical beds, with the daily number of surgical patients being 21. The third scheme (Scheme 3) was used for three surgical beds, 15 medical staffs and 6 post-surgical beds, with the daily number of surgical patients being 31. Conclusion The proposal, simulation and optimization of three allocation scheme in this study can help the decision-making in the establishment of NFST.