Recently, many general surgeons have inquired about the basis and conditions for performing surgery for portal hypertension. Based on my 30 years of experience in performing surgery for portal hypertension (giant splenectomy, various shunts, traditional dissection, coronary vein TH gel embolization, shunt + dissection, selective dissection, liver transplantation, clinical application of artificial liver, etc.), I believe that the following basis and conditions are necessary: fixed, dedicated A team of professional surgeons who are able to perform not only specialized surgeries but also the correct management of surgical complications in a timely manner; A pleasant and cooperative team of gastroenterologists, endoscopists, hepatologists, infectologists, hematologists, immunologists, ICU, interventionalists and liver transplants: able to perform relevant examinations and treatments before, during and after surgery, including: routine endoscopy, ultrasound endoscopy, endoscopic sclerotherapy, endoscopic endoscopic sclerotherapy, endoscopic ligation, percutaneous hepatic puncture, gastric left vein embolization, TIPS, hepatic failure treatment, severe infection treatment, coagulation failure treatment, intensive care, cardiopulmonary resuscitation, etc.; complete preoperative liver function evaluation system and procedures: including laboratory tests, imaging tests, isotope tests, indocyanine green excretion test and routine specialist consultation, etc.; complete intraoperative equipment: including argon gas electric knife, ultrasonic knife, blood cell recovery machine, all kinds of hemostatic glue or powder or gauze or sponge, etc., such as performing joint dissection preferably with disposable imported anastomosis and closure device; powerful postoperative remedial methods, including artificial liver system (plasma replacement machine is also available), liver transplantation, etc.