Abstract: The development of forest health care industry in China started relatively late. At present, there are few studies on the competitiveness of forest health care industry. Most of the existing studies remain at the qualitative analysis level, and the research on the spatial and temporal pattern changes of the competitiveness of forest health care industry is almost blank. Based on this, taking 31 provinces (cities and districts) in China as the research object, and based on the dynamic data of relevant indicators of forest health care industry development in 31 provinces (cities and districts) in China from 2011 to 2020, Entropy TOPSIS method is used to measure the competitiveness level of forest health care industry in each province from four dimensions of resource competitiveness, market competitiveness, support competitiveness and environmental competitiveness. On this basis, the spatial autocorrelation analysis, Kernel density estimation and other methods are used to analyze the space-time characteristics and dynamic evolution process of China's forest health care industry competitiveness. The research results show that: (1) from 2011 to 2020, the competitiveness level of forest health care industry in all provinces (cities and districts) in China showed a trend of "slowly rising, then gradually declining, and then rising in shock", with an overall upward trend; (2) the regional differences among provinces (cities and districts) are narrowing, and the regional development of forest health care industry is becoming more coordinated; (3) the regions with low competitiveness level of forest health care industry have increased rapidly, while the growth rate of regions with high competitiveness level of forest health care industry has slowed down, and the competitiveness of forest health care industry in various regions of China has a convergence trend; (4) the competitiveness of China's inter provincial forest health care industry has enhanced its spatial agglomeration characteristics, and its spatial distribution has evolved to a state of agglomeration; (5) the absolute difference in the competitiveness of the national forest health care industry shows a trend of first decreasing, then increasing, and then decreasing. The absolute difference within the region shows a downward trend.