Because a single monitoring index cannot fully reflect the overall operating status of the hydropower unit, a comprehensive state evaluation model for hydropower units based on the analytic hierarchy process (AHP) and the Gaussian threshold improved fuzzy evaluation is proposed. First, the unit equipment was divided into a hierarchical system, and a three-tier structure system (target layer-project layer-index layer) of the unit was constructed, and the weight of each component in the system was determined by the comprehensive weighting method. Secondly, according to the characteristics of the normal distribution of the historical health data of the unit, the upper and lower limits of the index were determined based on the Gaussian threshold principle, the real-time monitoring index degradation degree was calculated according to the index limit, and the degradation degree was applied to the fuzzy evaluation model to obtain the fuzzy judgment matrix. The result of assessment was divided into four sections: good, qualified, vigilant, and abnormal. Finally, combined with the unit hierarchical structure system, the weighted calculation of the fuzzy judgment matrix of each indicator, the overall fuzzy judgment matrix of the upper-level indicators of the unit was obtained, and the operating status of the unit was judged according to the matrix. Taking a real power plant unit as an example, the model was verified, and compared with other evaluation methods, the effectiveness and advantages of the proposed method were verified. In addition, the method proposed in this paper effectively solved the problems of index weighting and index limit determination in the existing model of unit condition evaluation.