Abstract:  The incidence of the esophagogastric junction (EGJ) cancer tends to increasing in recent years. Comprehensive treatment based on surgical treatment is currently a general strategy for the treatment of EGJ cancer. Because of the particularity of the anatomy and pathology of EGJ cancer, there were difficulties and controversies existing in the surgical treatment of EGJ cancer. Medical researchers have attached great importance to the treatment of EGJ cancer and made remarkable progress in it. Therefore, the authors summarize the progress of surgical treatment of EGJ cancer, and present it in four aspects of surgical approach lymph, node dissection, esophagogastric resection and digestive tract reconstruction.