Abstract: Although the treatment strategy of esophageal and gastric varices bleeding in portal hypertension has been diversified and multidisciplinary, the surgical treatment represented by pericardial devascularization still plays an important and irreplaceable role. In order to further standardize the surgical procedure, guide clinical practice and improve the surgical treatment of portal hypertension, the Chinese Society of Spleen and Portal Hypertension Surgery organizes relevant experts to formulate the Chinese expert consensus on open pericardial devascularization (2022 edition), with the main contents including the position of surgical treatment, surgical indica-tions and contraindications, preoperative evaluation indicators, key points and precautions of surgical procedure, perioperative treatment, prevention and treatment of postoperative complications. The present guideline emphasizes the standardization of surgical treatment of portal hypertension and the importance of the prevention and treatment of postoperative portal vein thrombosis, in order to provide surgical procedure guidance to surgeons.