The Hengsha east shoal is one of the main tidal flat resources for development and utilization in Shanghai City. To further expand the urban development of land space, on the basis of morphological evolution analysis of Hengsha east shoal, the overall principles and plan of medium and longterm development of Hengsha east shoal are put forward. The feasibility of the overall plan is discussed in detail. The results show that multi-objective demands for navigational channel regulation, land and water resources development, wetland environment protection and so on are taken into consideration in the medium and longterm development and utilization of Hengsha east shoal, which can create remarkable economic and social benefits.