There are two main principles of laparoscopic perforation criteria for gastric perforation: first, the location of the perforation is convenient for suturing the gastric perforation site; second, the perforated site can be explored in the whole abdominal cavity to clear the fluid and pus accumulation in the abdominal cavity in time. Clinically, the three-hole method is usually chosen for gastric perforation repair, and a 10-mm perforation hole is mostly chosen below the navel to place the laparoscopic lens, which facilitates abdominal exploration. A 12-mm perforation hole is placed 2 cm below the left costal margin, which is the main operating hole for suturing of the organ. A 5-mm perforation hole was placed 3 cm below the right costal margin, which is a secondary operating hole to facilitate tissue retraction. After finding the site of the perforation hole, a thorough suture is required to make it secure and the abdominal cavity is thoroughly cleaned. In all patients with gastric perforation, gastroscopy needs to be completed two months after surgery to avoid perforation caused by gastric malignancy, which may lead to missed diagnosis and delay of the patient’s condition.