Aimed at the S-elbow composed of two elbows with different radii, this article proposes a winding pattern design method combined with patch winding method and traditional winding method. It proposes an optimal combination of calculating the tangential point amount and skip point amount to make the pattern distribution even and keep the minimal adjusting angle. The S-elbow overall winding pattem plan and simulation module are designed to verify the combined winding pattern design method and the calculation algorithm of the tangential point amount and skip point amount. From the pattern distribution and the simula- tion effect analysis, it shows that this combined winding pattern design method is a good solution to the S-elbow combined winding pattern design. Aimed at the S-elbow winding pattern based on the patch winding method, it carries out the precision error analysis and points out the correspondence between the error and mesh size. Generally speaking, the bigger the mesh size is, the quicker the program calculation speed is; the smaller the mesh size is, the smaller the winding pattern error is.