Reservoirs deliver vital ecological services, including water storage and drainage. However, these functions are increasingly compromised by the dual pressures of climate change and human activities. Among the most pressing concerns is reservoir sedimentation, highlighting the urgency of investigating hydrodynamic sediment scouring. This study focuses on the plain reservoirs of Liaoning Province, using the Shifo Temple Reservoir as a case study. An optimized sediment scouring scheme was developed based on the reservoir’s hydrodynamic characteristics to improve water and sediment management. A coupled hydrodynamic and sediment transport (ST) model was constructed to simulate runoff dynamics and sediment distribution within the Liao he River Basin, while the MIKE21 model was applied to simulate the interaction between the hydrodynamics and sediment transport. The study analyzed groundwater dynamics across different runoff scenarios, seasons, and representative years, offering a scientific foundation for optimizing water and sediment allocation strategies. The results demonstrated a strong correlation between simulated and observed data during validation, confirming the accuracy of the hydrodynamic simulations. Utilizing the coupled HD and ST modules, the study proposed a sediment transfer scheme. The analysis revealed that flow rates between 165 and 190 m3/s significantly enhance sediment scouring in the long term (2029–2039) compared to the short term (2024–2029), effectively reducing sedimentation, minimizing deposition length, and lowering silt removal costs. The findings offer critical insights for predicting reservoir evolution and conducting risk assessments, thereby contributing to the sustainable management and ecological restoration of water systems in Liaoning Province.