Objective To investigate the feasibility and clinical effect of using narrative nursing method to guide patients to prepare bowel preparation before gynecologic laparoscopic surgery. Methods A retrospective study was conducted to observe the effect of preoperative intestinal preparation in patients undergoing laparoscopic surgery by laparoscopic total hysterectomy in July 2017 to March 2017 in our hospital, which were divided into the application of narrative therapy(study group) and the non applied narrative therapy enteral nutritional support (control group). The satisfaction of the two groups of surgeons for bowel preparation of the two groups of patients, postoperative exhaust time and length of stay were statistically different. Results The satisfaction of the surgeons to the bowel preparation of the patients in the study group was 90%, and the satisfaction of the intestinal preparation in the control group was 64%, and the difference was statistically significant (P<0.01). The satisfaction of bowel preparation in the study group was statistically significant compared with that in the control group (P<0.05). The exhaust time and hospitalization time in the study group were significantly lower than those in the control group (P<0.05). Conclusions It is safe and effective to tell the patients who need surgery by narrative method of oral enteral nutrition, to reduce the psychological pressure of the patients, to complete the perioperative nursing, and to improve the satisfaction of the surgeons in the operation, and to accelerate the recovery time of the patients after operation. In the course of communication with the patients, the nursing staff increased the degree of respect to the patients, further stimulated the enthusiasm of the nursing staff to learn the specialized knowledge, and improved the quality of nursing.