[Abstract] Laser corneal myopia surgery is currently the main means of adult refractive error correction and has been widely used in clinical practice. Looking back at the history of more than 20 years, there are more and more types of surgery, from the original excimer laser refractive keratomileusis (PRK), gradually developed into the quasi-existing laser in situ keratomileusis (LASIK), excimer laser sublaminar keratomileusis (SBK), until recent years from “knife” to “knife”. “Femtosecond” transformation: LASIK with femtosecond laser assisted flap making, femtosecond laser small incision stromal lens extraction (SMILE), etc. Surgery is becoming safer and safer, and more and more attention is being paid to the stability of corneal biomechanics. In particular, the emergence of all-excimer laser trans-epithelial excimer laser therapeutic keratomileusis (TransPRK) is gradually replacing LASEK with alcohol-based epithelial flap making and epi-LASIK with mechanical knife epithelial flap making, and its clinical application has shown its good results. The perioperative examination, evaluation and medication are becoming more and more refined, focused and individualized. Previously, the focus of post-refractive surgery problems was mainly on ocular corneal structure, corneal complications and visual stability, but nowadays, more attention is paid to the relationship between monocular corneal aberration, topography and binocular vision , as well as individualized visual requirements, stability of long-term corneal structure, and even the psychological and spiritual aspects of patients’ needs. Keywords: laser; cornea; myopia surgery; femtosecond