diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/IOutpatientRegistrationAppService.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/IOutpatientRegistrationAppService.java
index 2f79e2a89..8b5de03b9 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/IOutpatientRegistrationAppService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/IOutpatientRegistrationAppService.java
@@ -48,6 +48,11 @@ public interface IOutpatientRegistrationAppService {
     IPage<PractitionerMetadata> getPractitionerMetadataByLocationId(Long orgId, String searchKey, Integer pageNo,
         Integer pageSize);
 
+    /**
+     * 查询全院医生（不限科室），按角色过滤
+     */
+    IPage<PractitionerMetadata> getAllDoctors(String searchKey, Integer pageNo, Integer pageSize);
+
     /**
      * 根据机构id筛选服务项目
      *
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
index c92887ae4..a707111e6 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
@@ -243,6 +243,22 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
         return practitionerMetadataPage;
     }
 
+    /**
+     * 查询全院医生（不限科室），按角色过滤
+     */
+    @Override
+    public IPage<PractitionerMetadata> getAllDoctors(String searchKey, Integer pageNo, Integer pageSize) {
+        QueryWrapper<PractitionerMetadata> queryWrapper = HisQueryUtils.buildQueryWrapper(null, searchKey,
+            new HashSet<>(Arrays.asList("name", "py_str", "wb_str")), null);
+        IPage<PractitionerMetadata> page =
+            outpatientRegistrationAppMapper.getAllDoctorPage(new Page<>(pageNo, pageSize),
+                PractitionerRoles.DOCTOR.getCode(), queryWrapper);
+        page.getRecords().forEach(e -> {
+            e.setGenderEnum_enumText(EnumUtils.getInfoByValue(AdministrativeGender.class, e.getGenderEnum()));
+        });
+        return page;
+    }
+
     /**
      * 根据机构id筛选服务项目
      *
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/controller/OutpatientRegistrationController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/controller/OutpatientRegistrationController.java
index 7446fe099..43fee617d 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/controller/OutpatientRegistrationController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/controller/OutpatientRegistrationController.java
@@ -87,6 +87,17 @@ public class OutpatientRegistrationController {
             iOutpatientRegistrationAppService.getPractitionerMetadataByLocationId(orgId, searchKey, pageNo, pageSize));
     }
 
+    /**
+     * 查询全院医生（不限科室），用于手术申请等需跨科室选择医生的场景
+     */
+    @GetMapping(value = "/all-doctors")
+    public R<?> getAllDoctors(
+        @RequestParam(value = "searchKey", defaultValue = "") String searchKey,
+        @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+        @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        return R.ok(iOutpatientRegistrationAppService.getAllDoctors(searchKey, pageNo, pageSize));
+    }
+
     /**
      * 根据机构id筛选服务项目
      */
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/mapper/OutpatientRegistrationAppMapper.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/mapper/OutpatientRegistrationAppMapper.java
index 7d3352737..7f4d23b74 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/mapper/OutpatientRegistrationAppMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/mapper/OutpatientRegistrationAppMapper.java
@@ -24,6 +24,13 @@ public interface OutpatientRegistrationAppMapper {
         @Param("orgId") Long orgId, @Param("RoleCode") String RoleCode,
         @Param(Constants.WRAPPER) QueryWrapper<PractitionerMetadata> queryWrapper);
 
+    /**
+     * 查询全院医生（不限科室），按角色过滤
+     */
+    IPage<PractitionerMetadata> getAllDoctorPage(@Param("page") Page<PractitionerMetadata> page,
+        @Param("RoleCode") String RoleCode,
+        @Param(Constants.WRAPPER) QueryWrapper<PractitionerMetadata> queryWrapper);
+
     /**
      * 根据病人id和科室id查询当日挂号次数
      */
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
index 383d78c02..772db5d2c 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
@@ -31,6 +31,34 @@
             ${ew.customSqlSegment}
     </select>
 
+    <!-- 查询全院医生（不限科室），用于手术申请等需跨科室选择医生的场景 -->
+    <select id="getAllDoctorPage" resultType="com.openhis.web.chargemanage.dto.PractitionerMetadata">
+        SELECT T3.tenant_id,
+               T3.ID,
+               T3.NAME,
+               T3.gender_enum,
+               T3.py_str,
+               T3.wb_str,
+               T3.dr_profttl_code
+        FROM (
+                 SELECT T1.tenant_id,
+                        T1.ID,
+                        T1.NAME,
+                        T1.gender_enum,
+                        T1.py_str,
+                        T1.wb_str,
+                        T1.dr_profttl_code
+                 FROM adm_practitioner AS T1
+                 WHERE T1.delete_flag = '0'
+                   AND EXISTS(SELECT 1
+                              FROM adm_practitioner_role AS T2
+                              WHERE T2.practitioner_id = T1.ID
+                                AND T2.delete_flag = '0'
+                                AND T2.ROLE_code = #{RoleCode})
+             ) AS T3
+            ${ew.customSqlSegment}
+    </select>
+
     <select id="getNumByPatientIdAndOrganizationId" resultType="Integer">
         SELECT COUNT
                    (1)
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/api.js b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/api.js
index e52a77048..05d7d013e 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/api.js
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/api.js
@@ -111,6 +111,17 @@ export function getSurgery(data) {
   });
 }
 
+/**
+ * 查询全院医生（不限科室），用于手术申请
+ */
+export function getAllDoctors(params) {
+  return request({
+    url: '/charge-manage/register/all-doctors',
+    method: 'get',
+    params: params,
+  });
+}
+
 /**
  * 住院患者转科
  */
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue
index bdeb9d810..03058df3d 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue
@@ -129,6 +129,8 @@ const showApplicationFormDialog = (name) => {
       applicationFormNameRef?.value.getLocationInfo();
       // 诊断目录列表
       applicationFormNameRef?.value.getDiagnosisList();
+      // 医生列表（手术申请单专用）
+      applicationFormNameRef?.value.loadDoctorOptions?.();
     }, 150);
   } else {
     applicationFormName.value = components.value[name];
@@ -140,6 +142,8 @@ const showApplicationFormDialog = (name) => {
       applicationFormNameRef?.value.getLocationInfo();
       // 诊断目录列表
       applicationFormNameRef?.value.getDiagnosisList();
+      // 医生列表（手术申请单专用）
+      applicationFormNameRef?.value.loadDoctorOptions?.();
     });
   }
 };
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
index d93853cf5..d20829d65 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
@@ -173,7 +173,7 @@
                 v-model="form.mainSurgeonId"
                 filterable
                 clearable
-                placeholder="请选择主刀医生（支持搜索）"
+                placeholder="请输入关键字搜索医生"
                 style="width: 100%"
               >
                 <el-option
@@ -196,7 +196,7 @@
                 v-model="form.assistant1Id"
                 filterable
                 clearable
-                placeholder="请选择第一助手（支持搜索）"
+                placeholder="请输入关键字搜索医生"
                 style="width: 100%"
               >
                 <el-option
@@ -219,7 +219,7 @@
                 v-model="form.assistant2Id"
                 filterable
                 clearable
-                placeholder="请选择第二助手（支持搜索）"
+                placeholder="请输入关键字搜索医生"
                 style="width: 100%"
               >
                 <el-option
@@ -331,21 +331,22 @@
   </div>
 </template>
 <script setup name="Surgery">
-import {computed, getCurrentInstance, onBeforeMount, onMounted, reactive, ref, watch} from 'vue';
+import {computed, defineEmits, getCurrentInstance, onBeforeMount, onMounted, reactive, ref, watch} from 'vue';
 import {patientInfo} from '../../../store/patient.js';
 import {getDepartmentList} from '@/api/public.js';
 import {getEncounterDiagnosis} from '../../api.js';
-import {getSurgeryPage, saveSurgery} from './api';
+import {getAllDoctors, getSurgeryPage, saveSurgery} from './api';
 import {ElMessage} from 'element-plus';
 import {getDicts} from '@/api/system/dict/data';
-import {listUser} from '@/api/system/user';
 import useUserStore from '@/store/modules/user';
 
 const { proxy } = getCurrentInstance();
+const emits = defineEmits(['submitOk']);
 const userStore = useUserStore();
-// 模块级缓存：避免每次打开弹窗都重新请求手术项目列表
+// 模块级缓存：避免每次打开弹窗都重新请求
 let surgeryRecordsCache = null; // 原始 API 记录
 let surgeryMappedCache = null;  // 映射后的 el-transfer 数据
+let doctorCache = null;         // 医生列表（含默认主刀医生 ID）
 const transferRef = ref(null);
 const dbTotal = ref(0); // 数据库中的手术项目总数
 const checkedCount = computed(() => transferValue.value.length);
@@ -476,7 +477,11 @@ const form = reactive({
   primaryDiagnosisList: [], //主诊断目录
   otherDiagnosisList: [], //其他断目录
 });
-const rules = reactive({});
+const rules = reactive({
+  surgeryLevel: [{ required: true, message: '请选择手术等级', trigger: 'change' }],
+  anesthesiaType: [{ required: true, message: '请选择麻醉方式', trigger: 'change' }],
+  surgerySite: [{ required: true, message: '请选择手术部位', trigger: 'change' }],
+});
 const state = reactive({});
 // 字典选项
 const surgeryLevelOptions = ref([]);
@@ -525,29 +530,32 @@ const loadDictOptions = async () => {
 };
 
 /**
- * 加载医生选项列表
+ * 加载医生列表（全院 doctor 角色）+ 模块级缓存
+ * 后端 SQL 直接过滤 role_code='doctor'，无需前端过滤，快且数据完整
  */
 const loadDoctorOptions = async () => {
+  if (doctorCache) {
+    doctorOptions.value = doctorCache.list;
+    if (doctorCache.defaultId) form.mainSurgeonId = doctorCache.defaultId;
+    return;
+  }
   try {
-    const res = await listUser({ pageNo: 1, pageSize: 1000 });
+    const res = await getAllDoctors({ pageNo: 1, pageSize: 200 });
     if (res.code === 200) {
       const data = res.data?.records || res.rows || res.data || [];
       if (Array.isArray(data)) {
         doctorOptions.value = data.map(item => ({
-          id: item.practitionerId || item.id || item.userId,
-          name: item.nickName || item.name || item.userName,
+          id: item.id,
+          name: item.name,
         }));
       }
     }
-    // 默认主刀医生设为当前登录用户
+    let defaultId = '';
     if (userStore.nickName) {
-      const currentUser = doctorOptions.value.find(
-        doc => doc.name === userStore.nickName
-      );
-      if (currentUser) {
-        form.mainSurgeonId = currentUser.id;
-      }
+      const cur = doctorOptions.value.find(d => d.name === userStore.nickName);
+      if (cur) { defaultId = cur.id; form.mainSurgeonId = defaultId; }
     }
+    doctorCache = { list: doctorOptions.value, defaultId };
   } catch (e) {
     console.error('加载医生列表失败:', e);
   }
@@ -624,10 +632,19 @@ const submit = () => {
     }
   });
 };
+/** 递归规范化树形科室 ID 为字符串，确保与 el-tree-select / findTreeItem 兼容 */
+const normalizeOrgTreeIds = (nodes) => {
+  if (!Array.isArray(nodes)) return [];
+  return nodes.map((node) => ({
+    ...node,
+    id: node.id != null ? String(node.id) : node.id,
+    children: node.children?.length ? normalizeOrgTreeIds(node.children) : undefined,
+  }));
+};
 /** 查询科室 */
 const getLocationInfo = () => {
   getDepartmentList().then((res) => {
-    orgOptions.value = res.data || [];
+    orgOptions.value = normalizeOrgTreeIds(res.data || []);
   });
 };
 // 获取诊断目录
@@ -664,7 +681,7 @@ function getDiagnosisList() {
     }
   });
 }
-defineExpose({ state, submit, getLocationInfo, getDiagnosisList, getList });
+defineExpose({ state, submit, getLocationInfo, getDiagnosisList, getList, loadDoctorOptions });
 </script>
 <style lang="scss" scoped>
 .surgery-container {