The invention relates to a surgical nursing dressing change cart and belongs to the technical field of medical instruments. The surgical nursing dressing change cart comprises a cart body and a dressing change support and is characterized in that a movable base is arranged on the lower side of the cart body, a guide support is arranged on the lower left side of the movable base and connected with the movable base through a guide connector, a guide damper is arranged on the lower side of the guide support, a horizontal guide rotary shaft is arranged on the lower side of the guide damper, a guide wheel fixing frame is arranged on the lower side of the horizontal guide rotary shaft, a guide rubber wheel is arranged on the lower side of the guide wheel fixing frame and connected with the guide wheel fixing frame through a guide wheel connection rotary shaft, and a movable support is arranged on the lower right side of the movable base. The surgical nursing dressing change cart is simple in structure and comprehensive in function, a dressing of a surgical patient can be conveniently changed, waste can be classified so as to be recovered and can be disinfected and isolated, cross infection is prevented, use is convenient, the workload of medical staff is reduced, and the work efficiency of the medical staff is improved.