Trend prediction technology is the key technology to achieve condition-based maintenance of mechanical equipment. Large-sized water injection units are key equipment in oilfields. The traditional preventive maintenance is not economical and cannot completely avoid vicious accidents. To ensure the normal operation of units and save maintenance costs, trend prediction technology is studied to achieve condition-based maintenance for water injection units. The main methods of the technology are given, the trend prediction method based on neural network is put forward, and the expert system based on the knowledge is developed. The industrial site verification shows that the proposed trend prediction technology can reflect the operating condition trend change of the water injection units and provide technical means to achieve condition-based predictive maintenance.