Abstract: There are many operation methods in the surgical treatment of portal hypertension with esophageal gastric varices bleeding, and the technical levels vary significantly in different areas. Therefore, the consensus on technical specifications of pericardial devascularization (2013 edition) is made by experts group from the Ministry of Health Special Fund for Research in the Public Interest “Reasonable choice and application of treatment of portal hypertension”. The surgical indications of pericardial devascularization is portal hypertension with esophageal and gastric varices bleeding. Laboratory and imaging examinations, surgical risk assessment and preoperative preparation should be done before operation. The decision of choosing selective or nonselective paraesophagogastric devascularization depends on the patient′s actual situation. Controversial still exits on simultaneous splenectomy. The idea of in situ splenectomy and possible side effects of devascularization on subsequent liver transplantation are specially emphasized in the experts consensus.