With the ongoing increase in global energy demand, the significance of innovations in oil exploration and development technologies is rising, especially in relation to the development of unconventional reservoirs. The application of horizontal wells is becoming increasingly important in this particular situation. However, accurately monitoring and analyzing fluids in horizontal wells remains challenging due to the complex and fluctuating flow patterns of oil-water two-phase flow within the wellbore. Several elements, including well slope angle, flow rate, and water content, are involved. This study aimed to explore and develop an effective method for forecasting flow patterns, improving the precision of the dynamic monitoring of oil-water two-phase flow in horizontal wells. By analyzing the flow patterns in different experimental conditions, a predictive model using the SOA-BP neural network was developed, providing a scientific basis for dynamic monitoring in actual production scenarios. Initially, the simulated experiment for oil-water two-phase flow was carried out at room temperature and pressure utilizing a multiphase flow simulator. An optically transparent wellbore, with a diameter comparable to that of a real downhole well, was utilized, and No. 10 industrial white oil and tap water were employed as the experimental fluids. The experiment considered multiple contributing factors, including different well deviation, total flow, and water cut. The flow characteristics of oil and water were observed via visual monitoring and high-definition video, followed by detailed analysis. After collecting the experimental data, flow regimes for various scenarios were classified based on the established theory of oil-water two-phase flow in horizontal wells; then, detailed flow distribution diagrams were drawn. These data and diagrams presented offer a visual representation of the behavioral patterns exhibited by oil-water two-phase flow under varying situations and form the basis for subsequent model training and testing. Subsequently, based on the experimental data, this study combined the Seagull Optimization Algorithm (SOA) with a BP neural network to effectively learn and predict the experimental data. The SOA optimized the weights and biases of the BP neural network, improving the model’s convergence speed and prediction accuracy. Through rigorous training and testing, an oil-water two-phase flow pattern forecasting model was established, effectively predicting flow patterns under different well deviation, total flow, and water cut conditions. Finally, to validate the efficiency of the established model, a total of 15 data points were chosen from a sample well for validation. By comparing the flow patterns predicted by the model with actual logging data, the results indicate that the model’s accuracy in identifying flow pattern was 86.67%. This demonstrates that the flow pattern prediction model based on the SOA-BP neural network achieved a high level of accuracy under different complicated working conditions. This model effectively fulfills the requirements for dynamic monitoring in actual production. This indicates that the SOA-BP neural network-based flow pattern forecasting method is highly valuable due to its practical application value and provides an efficient technical approach for the development of unconventional reservoirs and the dynamic monitoring of horizontal wells in the future.