Social medical service is an important part of China’s health service system. In order to gain an in-depth understanding of the current situation of social medical service in Guangxi，to sort out the advantages and effects，to find out the problems，to analyze the gaps with the brother provinces and to learn from the experience，so as to provide evidence-based recommendations for the formulation and implementation of local policies for the social medical service in Guangxi，the research team conducted a literature study on the development of social medical service in Guangxi Zhuang Autonomous Region from 2011 to 2017 and field research in some areas. The results suggested that Guangxi’s social medical institutions have sufficient development space and relatively loose access space. Policies were issued at different levels of the main body to encourage and guide the social medical service，and to promote the quality and safety of social medical institutions. However，there were still many problems in the breakthrough and implementation of the social medical policy. Therefore，it was recommended to build an cross-sectoral cooperation mechanism. The departments of health care，medical insurance，market supervision，industry and commerce，civil affairs，development and reform，public and private sectors should strengthen their ties，coordinate and cooperate，clarify responsibilities，and conduct consultations and effective solutions to practical problems. At the same time，it emphasized the evidence-based formulation and implementation of local policies to promote the sustainable，healthy and standardized development of Guangxi social medical service.