Abstract: Objective To explore whether the establishment of general surgical emergency team can evacuate emergency congestion, increase emergency surgery turnover rate and reduce the medical burden. Methods All patients attending our emergency surgery from August 1,2019 to July 31,2021 were retrospectively analysed. The disease severity grading, the ratio of the observation and flow, the number of surgery, preoperative preparation time, the ratio of transfering to ICU, the ratio of patients staying more than 30 days, and complication rate before and after the establishment were compared. Length of stay and hospitalization costs were compared by surgical grading and disease severity grading. Analyse the factors affecting hospitalization costs in emergency surgery patients using univariate and multiple linear regression. Results: After the establishment of the surgical team, the ratio of observation decreased from 11.6% to 7.3% (P=0.000), the operation number increased from 26 to 77 monthly, preoperative preparation time decreased from (1.5 ± 0.7) days to (0.7 ± 0.9) days (P=0.000), the ratio of transfering to ICU decreased from 37.9% to 23.7% (P=0.000), the ratio of patients staying more than 30 days decreased from 5.7% to 0.5% (P=0.000). There was no significant change in complication rate. The average length of stay and cost of the third and forth grade surgery were significantly reduced. The establishment emergency surgery team can reduce the hospitalization cost, while serious disease, long hospitalization time, transfering to ICU and high surgical grading can increase the hospitalization cost. Conclusion The establishment of emergency surgery team can solve the current problem of emergency in some degree, such as evacuating emergency congestion, increasing emergency surgery turnover rate and reducing the medical burden on the premise of ensuring medical safety, so as to improve the efficiency of emergency treatment and benefit both doctors and patients.