Objective To understand the advanced schistosomiasis prevalence trend in Jingmen City，so as to provide the evidence for improving the disease prevention and control. Methods The changes of advanced schistosomiasis prevalence were investigated and the distribution characteristics of the patients were analyzed in Jingmen City from 2004 to 2013. Results In re? cent 10 years，the incidence of advanced schistosomiasis dropped from 0.014/thousand to 0.009/thousand，and the regional dis? tribution of the patients did not change. The number of male patients was still more than that of female patients，but more old ag? ing patients were found. The ascetic type and splenomegaly type of advanced schistosomiasis patients were the most. Conclu? sion In the next few years，the advanced schistosomiasis patients Jingmen City will reduce quickly，and concentrate on the ag? ing group and ascetic type.