PDC (polycrystalline diamond compact) bit is the key equipment for drilling holes inside the rock in oil and mining industry. Inspired by the shape and structure of Capra sibirica horn, a bionic lateral PDC reamer bit with variable lateral reaming radius was developed. Side view of Capra sibirica horn was employed for fitting the horn shape curve based on picture processing method. PDC teeth were arranged on the horn shape blade imitating the transverse ridges on the horn to cut the rock material, found with only 30% utilization rate of the total teeth and load concentration of the last tooth. A bionic blade curve evolved from the Capra sibirica horn was defined with geometric method for the lateral reamer bit; the utilization rate of the teeth on the bionic blade curve was improved to 90% with uniformly distributed reaming load. Multigroup simulations were conducted with the finite element method; the effects of bit revolution speed and rotation feed speed of the bionic blade to reaming load were emphatically studied. Concrete sample was reamed indoors from 240 mm to 407 mm in diameter, and the bionic lateral PDC reamer bit was approved by the test result.