Abstract: Surgical treatment is an important method for the treatment of inflammatory bowel disease (IBD) when it is complicated with other intestinal diseases or medical treatment fails. The appropriate timing of surgery can reduce the incidence of postoperative complications and is the key factor for the success of treatment. Excessive emphasis on medication and blindly extending the course of medication in case of invalidation will make patients lose the best opportunity of surgery. Surgeons should master different surgical techniques of acute and selective surgeries for IBD. Multidisciplinary treatment mode is recommended. Adjustment of the preoperative medication, improvement of the nutritional status and the overall condition of the patients are necessary when surgery is unavoidable.