In this paper, we propose a novel 3D automatic anatomy segmentation method based on the synergistic combination of active appearance models (AAM), live wire (LW) and graph cut (GC). The proposed method consists of three main parts: model building, initialization and segmentation. For the model building part, an AAM model is constructed and the LW cost function is trained. For the initialization part, an improved iterative model refinement algorithm is proposed for the AAM optimization, which synergistically combines the AAM and LW method (OAAM). And a multi-object strategy is applied to help the object initialization. A pseudo 3D initialization strategy is employed to segment the organs slice by slice via multi-object OAAM method. The model constraints are applied to the initialization result. For the segmentation part, the object shape information generated from the initialization step is integrated into the GC cost computation. And an iterative GCOAAM method is proposed for object delineation. This method is a general method and can be applied to any organ segmentation. The proposed method was tested on the clinical liver and kidney CT data sets. The results showed the following: (a) an overall segmentation accuracy of true positive fraction>93.5%, and false positive fraction<0.2% can be achieved. (b) The initialization performance is improved by combining the AAM and LW. (c) The multi-object strategy greatly helps the initialization due to interobject constraints.