Abstract: The strategies for prevention and treatment of recent complications after radical gastrectomy should be of equal emphasis on both theory and technology. Systematic prevention is the fundamental strategy, and adequate preoperative assessment and preparation are the basis. A reasonable extension of the radical gastrectomy and standard and refined surgical procedures could reduce the occurrence of complications. In addition, identifying these complications timely and taking effective treatments promptly according to the clinical context are the keys to reducing the treatment cycle and decreasing the mortality.