Abstract According to Standard & Poor, the market of the global medical devices of orthopedics in 2002 is $13 billion , the U.S.A market accounts for the always selling of 60%, about $7,6 billion, there is 13% to 16% increasing in every year, it is estimated that will growing up over twice within ten years , Currently, Taiwan market of the artificial joint products which mainly come from importing in foreign countries, such as Zimmer , J&J DePuy , Stryker,Wright , Smith&Nephew and British¡¦s company of Biomet ,etc. And Taiwanese medical device of orthopedics companies shares less 1% of global orthopedics market. In general speaking, besides U.S.A market, the market of Mainland China can be expected to grow up 20-30% in every year; the annual increasing in Japan and South Korea. are about 10-15%; Taiwan market also annual grow up 4-6% . The rest of Asian countries of healthcare insurance systems do not build up well so far. These countries will strong and increasing the national income and aging population in future, it is expected that the market scale will be expanded day by day. Case study found the orthopedics apparatus industry of development is influenced by government medical devices regulation and reimbursement system. Due to the loss of medical expenditure and reimbursement system reform that threaten to influence the development of transnational medical devices of orthopedics directly, relatively but the opportunity to medical device of orthopedics of native country of Taiwan enterprises. The manufacturer of Taiwan is one of the international division system, have ability to manufacture and development. Taiwan becomes the center of research and development, stand firm in the most key position in the value chain of production. Then could keep the advantage manufacture in abroad and maintain it with international factory's strategic partner's relationship. Key words: Medical devices, Transnational enterprises, Native country of Taiwan enterprises , Orthopedics apparatus , Competitiveness advantage