Over the past 20 years, laparoscopic pancreatic surgery has developed rapidly in China, with laparoscopic pancreaticoduodenectomy (LPD) as a representative procedure, ranking among the world’s leading positions in terms of surgical volume, resection rates, safety, and efficacy. However, the application of LPD in the surgical treatment of pancreatic head cancer still faces certain controversies regarding safety, short-term and long-term oncological outcomes, and learning curves. At the technical level, there are also various opinionss on aspects such as surgical approach, pancreaticojejunostomy, and the triangle dissection. This article summarizes the current status of laparoscopic surgical treatment for pancreatic head cancer in China and, combined with our own experience, explores related issues to provides perspectives on the development of minimally invasive pancreatic surgery in China.