An operating lamp and a method for adjusting light spots in an operating field of an operating lamp are disclosed. The operating lamp includes a first lighting unit, a second lighting unit, and a control unit. A light beam emitted by the first lighting unit forms a first light spot having a first equivalent diameter in an operating field, and the first light spot have a light distribution that meets an operating lamp standard. A light beam emitted by the second lighting unit forms a second light spot having a second equivalent diameter in the operating field, and the second light spot have a light distribution that does not meet the operating lamp standard. The second equivalent diameter is greater than the first equivalent diameter. The control unit is configured to control working states of the first lighting unit and the second lighting unit, and enable the operating lamp to provide the first light spot or a synthetic light spot having a light distribution that meets the operating lamp standard and is formed by the first light spot and the second light spot.