Based on the quantitative and qualitative methods,it analyzes the status of land use in river head region of the Middle-Route of South-to-North Water Transferring Project (Nanyang Basin), and points out existence problems in land utility. Finally, it puts forward countermeasures of sustainable utilization. Those are: (1) to strengthen adjusting of land use in macrocosm, and doing activity land use in micro-management; (2) to build Mechanism system of land transfer and social service system; (3)to improve developing none-agricultural industry which tourism etc, advancing progress of urbanization in village area and relieving eco-strength of rural surplus labor for land resource; (4)to strengthen science and technology to land use, and harnessing water and soil loss and development the low-waste yield farmland for improve utility efficiency of land resource ; (5)to control population growth, improve quality of population, realize sustainable development.