In the construction of high concrete dam, different concrete pouring placement has different reliability of construction progress and quality, different difficulty degree of construction organizations and different construction cost. In order to determine the optimal concrete pouring placement scheme, ensure the construction progress and quality, and have the best technical and economic comprehensive indicator, by using the parameters obtained by computer simulation, the evaluation index system for the optimization of high concrete dam construction program was set up. Then, by using fuzzy multiple attribute decision making theory, the index values were quantified and the weights were determined. Finally, two high concrete dams’alternative concrete pouring placement options were ranked which can prove the proposed method is effective and easy to operate.