Abstract: Esophagogastric variceal hemorrhage caused by portal hypertension is common and severely threatens the patients′ health. The conventional surgical treatment plays an important role in portal hypertension. Although surgical treatment is strongly challenged by the pharmacological treatments, endoscopic treatments and radioactive intervention therapies, the role in portal hypertension treatment is still unshakable and irreplaceable, and is also not the disappearing surgery. The multidisciplinary treatment modalities have also brought new impetus for the individualization and precision treatment of portal hypertension. The developments of new clinical guidelines and consensuses, new techniques and novel conceptions have promoted the treatment of portal hypertension to a standard procedure.