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 49b6cc68f..23eec9b48 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
@@ -86,6 +86,9 @@ import {getApplicationList, saveSurgery} from './api';
 import {ElMessage} from 'element-plus';
 
 const { proxy } = getCurrentInstance();
+// 模块级缓存：避免每次打开弹窗都重新请求手术项目列表
+let surgeryRecordsCache = null; // 原始 API 记录
+let surgeryMappedCache = null;  // 映射后的 el-transfer 数据
 // 递归查找树形科室节点
 const findTreeItem = (list, id) => {
   if (!list || list.length === 0) return null;
@@ -110,6 +113,12 @@ const getList = () => {
     applicationList.value = [];
     return;
   }
+  // 命中缓存时直接使用，避免重复请求导致加载缓慢
+  if (surgeryMappedCache && surgeryMappedCache.length > 0) {
+    applicationList.value = surgeryMappedCache;
+    applicationListAll.value = surgeryRecordsCache;
+    return;
+  }
   loading.value = true;
   getApplicationList({
     pageSize: 500,
@@ -132,6 +141,9 @@ const getList = () => {
             key: item.adviceDefinitionId,
           };
         });
+        // 写入模块缓存，后续打开弹窗直接复用
+        surgeryRecordsCache = res.data.records;
+        surgeryMappedCache = applicationList.value;
       } else {
         console.warn('获取手术项目列表失败:', res.message);
         applicationList.value = [];