The invention relates to a production instrument for medical orthopedic bone plates. The production instrument comprises a bottom plate. A fixing device is mounted in the middle of the bottom plate. Aperforating device is mounted on the bottom plate and located above the fixing device. The fixing device comprises a fixing supporting frame mounted on the bottom plate. A fixing placement frame is mounted on the fixing supporting frame. Fixing extrusion tanks are symmetrically arranged on the fixing placement frame. The production instrument can solve the problems that in the production and machining process of existing bone plates, existing clamps need to be used for fixing the bone plates manually, perforating machines need to be controlled manually for machining the bone plates, workers cannot fix the bone plates stably through the existing clamps, the clamps need to be manually adjusted for the bone plates of different dimensions, the workers cannot fix the bone plates accurately through the clamps, the bone plates are liable to shake in the machining process, the machining accuracy of the bone plates is affected, and perforating tool bits need to be replaced manually for perforating operations of different dimensions.