City health examination is an important policy tool to promote the improvement of spatial governance system and governance capacity. It will help to implement national development strategy, improve the level of comprehensive urban governance, and effectively respond to the needs of people’s better life. This article summarizes the experience of Beijing, holds that city health examination provides a new way of response to the improvement of spatial governance from 3 dimensions: pattern, method and technology. Pattern dimension, focusing on the establishment of regulations, has formed a closed-loop work system, a working mode contains self-evaluation, third-party-evaluation and public participation, an normalized data acquisition system, which strengthens the seriousness and authority of health examination evaluation. Methodology dimension, the research system focuses on index, task and different important issues, which is connected with the overall planning implementation mechanism process. Technology dimension, with the actively use of a multi-dimensional, multi-level, all-factor, multi-agent, speculative and verifiable diagnostic ideas, Beijing’s work constantly deepens the key technologies of city health examination. In order to optimize spatial governance, we should continuously improve the city health examination practice, including continuously strengthening its ability in institutionalization, simplification, standardization and automation. First, we should continuously improve multidimensional data acquisition and monitoring. On the basis of continuing the collection of 117 core indicators in the master plan, the evaluation should meet the requirements of the Ministry of Natural Resources and the Ministry of Housing and Urban-Rural Development for city health examination, and integrate the relevant index system into the platform. Second, we should further focus on key issues and annual key variables in urban development. “Annual health examination and five-year evaluation” has established the periodicity of work, focusing on different work priorities and forming an organic combination. Third, we should improve the intelligent analysis platform of city health examination. Focusing on the needs of supporting the whole cycle of city health examination in Beijing, an analysis platform with multi-dimensional monitoring, automatic operation and decision-making needs has been established. In the next step, we should continue to improve the construction and application of the platform, and promote more accurate response of the platform and decision-making needs.