Portal hypertension is a common disease with high mortality and serious influence on the life quality of patients. At present, shunt and disconnection are commonly used for the treatment of portal hypertension. In recent years, combined procedures of shunt and disconnection have evoked the potential interest of surgeons. Initial experimental studies and clinical observations showed that the combined procedures are ideal for treating portal hypertension. Transjugular intrahepatic portacaval shunt (TIPS) is a new minimally invasive technique in treating portal hypertension. Some surgeons have tried to perform disconnection under laparoscopy with success. Liver transplantation will be the focus of portal hypertension surgery in the future.