Abstract: Objective To investigate the application and effect of the project management in nutrition management of spinal surgery patients. Methods The project management in nutrition management was applied in 120 cases of spinal surgery patients in a third hospital in Sichuan province who were selected as the study subjects from January 2017 to March 2017 by taking the convenience sampling method. Specific methods included: analyzing the current situation of nutrition management and retrieving relevant documentary evidence; setting up an interdisciplinary nutrition management project team and constructing the organizational structure of nutrition management; defining the nutrition management responsibilities of the core members of the project team; creating an atmosphere for the training of nutrition management; refining the nutrition management plan of spinal surgery; control of nutrition process; the management and other series of the management of the spinal surgery nutrition management after discharge. The incidence of daily hunger stress, the nutrition management service experience and satisfaction, the evaluation rate of nutrition risk and the rate of the nutrition path of the patients were compared. Results By applying the project management to spinal surgery nutrition management, the incidence of daily hunger in spine surgery patients decreased from 45% to 11%. The nutrition management service experience and satisfaction of hospitalized patients was increased from 90% before the application project management to 97% of the application project management. The rate of nutritional risk screening was also increased from 16% to 93%. All the patients with spinal surgery included in the ERAS were given nutritious meals on time, and the implementation rate of the ERAS nutrition path was 100%. Conclusion Project management used in spine surgery nutrition management which help reduce stress, improve patient outcomes and patient satisfaction, at the same time change nutrition management become passive to active. It's an advanced and scientific management methods.