As buildings increase in height, lifting plans are becoming increasingly important on construction sites. As a critical piece of load-lifting equipment, the tower crane deserves a well thought-out stability review, since it has a significant impact and is very vulnerable to structural safety disaster. To ensure the structural stability of a tower crane, its lateral support or pile supported foundation designs must include consideration for stability, and pile foundation must be used if site conditions prevent soil from providing the required bearing capacity, or prevent the foundation from being increased to the required extent. Pile supported foundation design requires thorough and systematic review, as more stability parameters need to be considered than with an independent foundation. This paper intends to develop an optimal design algorithm that can minimize associated costs while ensuring the fundamental stability of pile supported foundation design, limiting the scope of research to fixed-type trolley tower cranes using pile supported foundations. The findings herein on pile foundation stability review parameters, process and optimal design are expected to improve the operational efficiency of staff concerned, and reduce the time and efforts required for pile foundation design.