Postoperative abdominal adhesions are one of the most common causes of complications in surgery, and in clinical practice, surgeons must pay attention to basic minimally invasive principles (minimally invasive operation, adequate abdominal irrigation, and meticulous hemostasis to reduce postoperative adhesions. However, consideration of complications related to postoperative adhesions is not a basis for deciding between open or laparoscopic surgery, as there is no evidence that laparoscopic surgery reduces the incidence of extraoperative adhesive bowel obstruction. The use of well-proven and safe anti-adhesion techniques or products in clinical procedures is necessary, but there is no standard protocol. Also, no technique, procedure, or product has been shown to reduce the risk of long-term complications of abdominal adhesions. We are still looking forward to well-designed prospective clinical studies that will provide more definitive high-level evidence-based evidence, but at the same time, it is important to fully recognize that reducing abdominal adhesions is not the same as reducing postoperative adhesive bowel obstruction so that we can maintain a clear and objective judgment when reading the relevant literature.