The Middle Permian Maokou Formation in the Sichuan Basin has huge resources and is an important target for natural gas exploration. In recent years, significant exploration breakthroughs have been made in the dolomite field of member Mao-2 in central Sichuan, and the gas production of several wells has exceeded 1 × 10⁶ m³/d, indicating promising prospects for exploration. However, the origin of the dolomite reservoir in member Mao-2 remains ambiguous, which restricts the accurate prediction of favorable reservoirs. This study focuses on drilling in the Hechuan area as its research object, by using a detailed description of the cores from member Mao-2 of seven wells; samples were selected for tests of the degree of dolomite cation ordering, stable carbon and oxygen isotopic compositions, strontium isotopic composition, rare earth elements, LA-ICP-MS element mapping and U-Pb dating. It is clarified that: (1) The crystalline dolomite of member Mao-2 in the Hechuan area is the main reservoir rock, and the heterogeneous vugs and fractures are the main reservoir space. The dolomite in member Mao-2 has been characterized by a low degree of cation ordering value (avg. 0.59), with values of δ¹³C (avg. 3.87‰), δ¹⁸O (avg. −7.15‰) and ⁸⁷Sr/⁸⁶Sr (avg. 0.707474) having similar geochemical characteristics to Middle Permian seawater; the REEs normalized distribution patterns have similar characteristics to limestone; and the U-Pb age (261.0~262.0 Ma) corresponds to the age in the Capitanian stage of the Permian Guadalupian Series. (2) Petrological studies show that member Mao-2 has vertical karstification zonation characteristics; syngenetic karstification controls the formation of a large-scale fracture-cave system in the phreatic zone; the dolomitization of sediment in the fracture-cave system occurred during the penecontemporaneous period with locally restricted seawater. (3) The main controlling factors of the reservoir were syngenetic karstification, early dolomitization and hydrothermal dissolution related to Emei taphrogenesis. The research results are of great significance for dolomite reservoir prediction; the highlands of paleogeomorphology with syndepositional faults are favorable areas for dolomite reservoirs.