Summary As oil and gas wells are drilled to greater depths, wellhead pressure is expected to exceed the 20 ksi (138 MPa) limit specified by API SPEC 6A and other industrial standards, necessitating the development of 25 ksi (172.4 MPa) equipment. This paper focuses on the strength design and analysis of ultrahigh-pressure wellhead equipment, reviewing various wall-thickness calculation formulas and design criteria based on basic mechanical theory. It traces the flange wall thickness calculations in API SPEC 6A, discusses issues with 25-ksi equipment, and analyzes safety factors, methods, and allowable stresses in different standards. The findings of the research indicate that for high-pressure equipment with a pressure of 25 ksi (172.4 MPa), the optimal ratio of outer diameter to inner diameter is 2, and the structure can meet the requisite strength requirements. The wall thickness design method for structures such as flanges in traditional American Petroleum Institute (API) specifications uses the maximum principal stress criterion for calculation, which is not applicable to high-pressure equipment. For high-strength steel with high yield ratio used in high-pressure equipment, yield strength and tensile strength should be combined in design and use, fully utilizing the material’s properties. It is recommended to use finite element analysis for high- and ultrahigh-pressure complex structures, following the latest design concepts such as elastic-plastic ASME standards. The research provides a theoretical basis for designing ultrahigh-pressure wellhead equipment.