Tips surgery refers to intrahepatic portosystemic shunt via jugular vein, which can be categorized as interrupted flow, shunt surgery and compound surgery. According to its different types, each of them has its own advantages and disadvantages, the advantages can be simple operation, less trauma, etc.; disadvantages can easily cause hepatic encephalopathy. 1. Shunt surgery (1) Advantages: relatively simple operation, less trauma, and less influence on the blood supply of hepatic portal vein. (2) Disadvantages: postoperative portal hypertension can still be obvious, and the rate of rebleeding is high. 2. Shunt operation: including selective and non-selective portosystemic shunt operation. (1) Selective portosystemic shunt: the advantage is that the incidence of postoperative hepatic encephalopathy is lower; the disadvantage is that the blood flow to the liver is not completely blocked, which only improves the condition to a certain extent. (2) Non-selective portosystemic shunt: the advantage is that the blood flow to the liver is completely blocked, and the portal vein pressure decreases significantly. The disadvantage is that the incidence of postoperative hepatic encephalopathy is high. 3. Compound surgery: The advantage is that it combines the characteristics of selective shunt and interruption of flow, and complements the shortcomings. The disadvantage is that compound surgery is more traumatic and technically difficult, and it requires higher liver function of the patient. If there is any discomfort, it is recommended to consult a doctor in time and choose the appropriate treatment plan under the guidance of the doctor according to your own condition.