To solve the problems existing in the traditional algorithm, such as image quality, the ability to predict the coordinate of the motion fat reduction image, the Intersection over Union (IOU) of the estimated coordinate of the landmark, the peak signal-to-noise ratio (PSNR) of the image, and the recognition accuracy of the image landmark, an automatic recognition algorithm for fat reduction motion image landmark using computer vision is proposed. The OV7725 camera is used to obtain the fat reduction motion image, and the histogram equalization method is used to enhance the fat reduction motion image. After that, the estimated coordinates of the landmark are obtained by the automatic recognition model of the landmarks of the fat reduction motion image. According to the coordinates of the landmark, after using a field programmable gate array to segment the image of the fat reduction motion image, the incremental updated freeman chain code extracts the contour of the landmark of the fat reduction motion image through 8-neighborhood retrieval, so as to realize the automatic recognition of landmark. The results show that the fat reduction motion image enhanced by the algorithm is clear and the contrast is obvious. The ability to predict the coordinates of the landmark of the fat reduction image is strong. The IOU of the estimated landmark coordinates is about 0.96. The processed image has a high PSNR, which can effectively recognize the landmark of the fat reduction motion image, and the recognition accuracy is about 97%, which has certain value in the field of image recognition and can improve the fat reduction movement normality.