Abstract:  With the further application of evidence-based medicine and the change of disease spectrum, gastrointestinal surgery is facing the novel challenge and opportunity. Systemic quality control of surgery will have positive effects on the subject development. Absence of high level of evidence, the popularization of mini-invasive surgery should be carried out cautiously. Standardization of definition of complications and unified management will be helpful to the clinical researches, prevention and treatment of complications. Conception and implementation of multidisciplinary team and enhanced recovery after surgery will provide every patient individualized and standard treatment.