The shield tunneling method is the main construction method in subway tunnel construction, which has the characteristics of safety, efficiency, mechanization, and high degree of automation. However, the shield tunneling equipment is huge, the supporting facilities are numerous, and the site requirements are high. In response to the problems of slow slag removal speed and low construction efficiency in shield tunneling under the construction conditions of small wellhead shield tunneling sections in urban subways, taking the shield tunneling section of Guangzhou Metro Line 13 Phase II as the background,This article introduces the main components, working principles, installation and transportation processes, fault handling, and benefit analysis of the continuous belt conveyor slag removal system,This article elaborates on the method of using a continuous belt conveyor in the tunnel combined with a vertical lifting system at the wellhead to achieve continuous slag removal during underground shield tunneling construction in a narrow wellhead construction site. This not only improves excavation efficiency but also reduces construction costs, solves construction problems, and provides reference for similar projects in the future.