In the past 20 years, the prestressed technology has developed rapidly in the bridge engineering in our country, and the prestressed anchoring technology is becoming more and more mature. The analysis of the diseases under prestressed anchors shows that the causes of the diseases mainly include two aspects: one is the lack of mandatory load transfer performance test standards under anchors; The second is that the manufacturing specification of anchor gear is not perfect. Based on the severity and universality of anchor diseases, it is suggested to establish a more perfect national standard for the performance index of anchor products.