Single photon satellite laser altimeter is based on Geiger model, which has the characteristics of small spot, high repetition rate etc. In this paper, for the slope terrain, the distance of error’s formula and numerical calculation are carried out. Monte Carlo method is used to simulate the experiment of different terrain measurements. The experimental results show that ranging accuracy is not affected by the spot size under the condition of the flat terrain, But the inclined terrain can influence the ranging error dramatically, when the satellite pointing angle is 0.001° and the terrain slope is about 12°, the ranging error can reach to 0.5m. While the accuracy can’t meet the requirement when the slope is more than 70°. Monte Carlo simulation results show that single photon laser altimeter satellite with high repetition rate can improve the ranging accuracy under the condition of complex terrain. In order to ensure repeated observation of the same point for 25 times, according to the parameters of ICESat-2, we deduce the quantitative relation between the footprint size, footprint, and the frequency repetition. The related conclusions can provide reference for the design and demonstration of the domestic single photon laser altimetry satellite.