Abstract The average measured sediment concentration of the river section where Wanjiazhai Hydropower Station is located over the years is 5.7kg/m 3, The maximum measured sediment concentration reaches 37.6kg/m 3, The erosion of the flow components of hydraulic turbines caused by sand containing water flow is becoming increasingly severe, coupled with the frequent impact of load changes during peak shaving operation, the problems exposed during the operation of hydraulic turbines are becoming more prominent, which affects the stable operation of the units. This article uses numerical simulation and experimental testing to study the sediment wear characteristics and hydraulic performance of the water turbine at Wanjiazhai Hydropower Station. Research has revealed the effects of working head on impeller wear. The increase in working head will exacerbate the impact wear on the main channel wall of the unit. The surface of water turbine blades is the main wear area, and the high-speed impact of particles causes an increase in the wall wear rate. The probability of particles coming into contact with the wall at the outlet increases, resulting in rapid wear at this point. The increase in head will intensify the wear intensity of the unit surface, and the flow velocity in the gap indicates that the local high-speed jet in the gap is the main cause of gap wear. Therefore, in order to ensure the efficient anti-wear performance of the water turbine, multiple factors need to be comprehensively considered to cope with sediment wear of the water turbine, including regular cleaning, optimized structural design, use of wear-resistant materials, replacement of worn parts, and optimization of operating parameters. These measures help to reduce the damage of sediment wear to water turbines and extend their service life.