diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgeryMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgeryMapper.xml
index 5239fbd4..17c94402 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgeryMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgeryMapper.xml
@@ -331,8 +331,12 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
             ) t
             WHERE rn = 1
         ) pi ON s.patient_id = pi.patient_id
+        <!-- 排除已生成医嘱的手术 -->
+        LEFT JOIN wor_service_request sr ON sr.activity_id = s.id AND sr.delete_flag = '0' AND sr.category_enum = 4
         <where>
             s.delete_flag = '0'
+            <!-- 只显示未生成医嘱的手术 -->
+            AND sr.id IS NULL
             <if test="ew.sqlSegment != null and ew.sqlSegment != ''">
                 <![CDATA[
                 AND ${ew.sqlSegment.replace('tenant_id', 's.tenant_id').replace('create_time', 's.create_time').replace('surgery_no', 's.surgery_no').replace('surgery_name', 's.surgery_name').replace('patient_name', 's.patient_name').replace('main_surgeon_name', 's.main_surgeon_name').replace('anesthetist_name', 's.anesthetist_name').replace('org_name', 's.org_name').replace('status_enum', 's.status_enum').replace('planned_time', 's.planned_time')}