Gastric cancer is a common gastrointestinal tumor in China，and surgical treatment is still the cornerstone of the radical treatment of gastric cancer. Based on the practice and high quality evidence in China，Japan，South Korea，Europe and the United States，the surgical strategy of radical gastrectomy，standardlymph node dissection and digestive tract reconstruction has been established. Based on the radical and safety of gastric cancer surgery，more attention should be paid to long-term quality of life. Recently，some progress has been made in the aspects of esophagogastric junctionadenocarcinoma，function-preserving gastrectomyand minimally invasive treatment. Standardized gastrectomy and lymph node dissection，namely，high quality surgery，are important factors to improve the prognosis of gastric cancer patients. According to different stages，only precise and standardized surgical treatment at the appropriate time can maximize the benefit to patients.