Henan province is rich in geothermal resources. In recent years，the application of geothermal resources in heating，hot spring，health and other aspects is on the rise. In 2018，the Henan geothermal industry achieved new breakthroughs in resource exploration，technological research，standard system construction，government-enterprise cooperation，and market development and utilization. Based on the actual situation of Henan Province，this paper analyzes the opportunities faced by geothermal resource development and utilization in terms of policy guarantee，experience demonstration，haze management，and people’s livelihood and health care. The problems of geothermal development in exploration and technology research and development are summarized. The prospects of geothermal resource development and utilization in the province are forecasted from the perspective of geothermal heating scale，and countermeasures and suggestions for promoting the scientific development of geothermal resources in the province are put forward.