The surgical treatment of portal hypertension has come a long way over the past century and currently, there are two relatively accepted procedures, namely, the shunt and devascularization operation. However, these two procedures have their own shortcomings, and limitations of applicability. The combined shunt and devascularization procedure for portal hypertension, which was originally proposed by Chinese scholars since the 1980s, has shown significant efficacy. This paper addresses the current status of surgical treatment of portal hypertension by combined shunt and devascularization procedure.