A kind of full-scale three-dimensional bone block surgery preplanning system of multimedia establishes mould group and an assessment simulation mould group comprising a foot bone block plantar pressure comparison module, an image with an image acquisition unit and an image conversion unit. The foot bone block plantar pressure comparison module is used to that a foot bone block is compared, and what compares the abnormal mark of display at least one at difference. The image acquisition unit is scanned and captures a scan-image for the foot bone block, then the scan-image is converted into a stereopsis by the image conversion unit. And assessment simulation mould group is used to carry out image simulation processing to the stereopsis. The thereby presentation of stereopsis the effect of to assist doctor's what preoperative planning appraisal, promotes operation precision, and establish complete clinical case through data bank, and is used for doctor diagnosed, research, training and study.一種多媒體全尺寸立體骨塊手術術前規劃系統,包含一足部骨塊足底壓力比對模組、一具有一影像擷取單元與一影像轉換單元之影像建立模組,及一評估模擬模組。該足部骨塊足底壓力比對模組用來對一足部骨塊進行比對,並於比對差異處顯示至少一異常標示。該影像擷取單元針對該足部骨塊進行掃描並擷取一掃描影像,再藉由該影像轉換單元將該掃描影像轉換成一立體影像。而該評估模擬模組用來對該立體影像進行影像模擬處理。藉此立體影像之呈現,來輔助醫師於術前規劃評估的功效,提升手術精準度,並透過資料庫建立完整的臨床案例,而供醫師診斷、研究、訓練及學習之用。