Objective To explore the clinical value of MRI in preoperative condition evaluation of cervical cancer. Methods The imaging data of 59 cervical cancer patients treated with preoperative MRI examination about myometrial infiltration, vaginal involvement, parametrial infiltration and lymph node metastasis were analyzed retrospectively. The postoperative pathological findings were compared with MRI examination, the accuracy and consistency of the postoperative pathological staging diagnosis were observed and compared. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of MRI in the diagnosis of myometrial infiltration, vaginal involvement, parametrial infiltration and lymph node metastasis were also discussed. Results The pathological examination was taken as the gold standard, and the preoperative MRI staging diagnosis and the postoperative pathological staging examination were consistent with Kappa=0.64 and P<0.001, and the diagnostic accuracy rate was 79.66%. The sensitivity of MRI for preoperative myometrial infiltration, vaginal involvement, parametrial infiltration and lymph node metastasis were 77.78%, 73.91%, 87.18% and 77.78%, and the specificity were 98%, 96.11%, 80% and 94% respectively, and the accuracy rate of diagnosis were 94.92%, 81.36%, 84.75% and 91.53%, and the consistency were Kappa=0.794, 0.605 , 0.664 and 0.687, P<0.001. Conclusion MRI has a high accuracy rate for preoperative staging of cervical cancer, and has high sensitivity, specificity and accuracy to cervical myometrial infiltration, vaginal involvement, parametrial infiltration and lymph node metastasis, therefore MRI has important clinical value on cervical cancer preoperative condition evaluation.