Objective: To investigate the genotype distribution of thalassemia in the population of childbearing age in Yulin area., Methods: The polymerase reaction (PCR) combined with agargel eletrophoresis and reserve dot bolt hybridization was used to detected the α- and β-thalassemia gene in 31 769 cases of suspected thalassemia population at childbearing-age., Results: A total of 22 254 cases were identified as thalassemia gene detetion or mutation in 31 769 cases with a detecting rate of 70.05%, and the detecting rate of α-thalassemia, β-thalassemia and α-combining β-thalassemia were 45.86% (14 569/31 769), 19.45% (6 178/31 769) and 4.74% (1 507/31 769) respectively. 28 kinds of α-thalassemia gene mutations were detected, the common mutations were as follows: -- SEA /αα (28.18%), -α 3.7 /αα (6.29%), -α 4.2 /αα (3.66%), α CS α/αα (1.93%) and α WS α/αα (1.89%),and including two rare gene mutations: - THAI and HKαα. 16 kinds of β-thalassemia gene mutations were detected, the common mutations were as follows: β 41-42 /β N (9.41%), β -28 /β N (3.05%), β -17 /β N (2.86%) and β 654 /β N (2.18%). 93 kinds of α combining β-thalassemia gene mutations were detected, the common mutations were as follows: -- SEA /αα (1.05%) and -α 3.7 /αα (0.56%) combining β 41-42 /βN., Conclusion: The detection rate of thalassemia gene is high in Yulin caildbearing-age population, and there is diversity in mutation spectrums of thalassemia. The most common genotypes are -- SEA /αα in α-thalassemia and β 41-42 /βN in β-thalassemia. The results are beneficial for the intervention and genetic consultation of thalassemia.