Based on the observation of outcrops and cores, thin section identification, restoration of paleogeomorphology by residual thickness method, fine description of seismic facies, etc., the coupling relationships between the development patterns of various types of Cambrian platform margin mound-shoal complexes and paleogeomorphology in the Gucheng area of Tarim Basin have been examined. The Cambrian platform margin mound-shoal complex is divided into mound base, mound core, mound front, mound back and mound flat microfacies, which are composed of dolomites of seven textures with facies indication. The different paleogeomorphology before the deposition of mound-shoal complex in each period was reconstructed, and three types of mound-shoal complex sedimentary models corresponding to the paleogeomorphologies of four stages were established: namely, the first stage of gentle slope symmetric accretion type, the second stage of steep slope asymmetric accretion type and the third and fourth stages of steep slope asymmetric progradation type. Their microfacies are respectively characterized by “mound base - mound back + (small) mound core + mound front - mound flat” symmetric vertical accretion structure, “mound base - (large) mound core + mound front - mound flat” asymmetric vertical accretion structure, “mound base - (small) mound core + mound front - mound flat” asymmetric lateral progradation structure. With most developed favorable reservoir facies belt, the steep slope asymmetric accretion type mound-shoal complex with the characteristics of “large mound and large shoal” is the exploration target for oil and gas reservoir.