With fresh bitter melon and green tea as main ingredients, xylitol, sucrose and citric acid as auxiliary ingredients, a new cool health tea beverage was developed. The optimum formula of low sugar bitter melon green tea compound beverage was developed by single factor experiment and orthogonal test based on sensory evaluation. The results showed that the optimum formula was as follows: Bitter melon juice was added at 7%, green tea extract was added at 20%, total xylitol and sucrose was 6% (mass ratio 1:1), citric acid was added at 0.2%, and the volume was fixed to 100% with deionized water. The product has light green color, harmonious aroma, moderate acidity and sweetness, and clear texture. The aftertaste is long, with tea polyphenol content of 342 mg/kg, soluble solids of 5.2% and pH 5.8.