The progress in the treatment of gynecological malignant tumours has prolonged the survival time of postoperative patients, but lower limb lymphedema as a complication has seriously affected the health and quality of life of postoperative patients. In recent years, secondary lymphedema of lower extremities after radical resection of gynecological malignant tumours has attracted more and more attention. This paper reviews the progress of surgical treatment, introduces the application, indications, existing issues and matters that requir attentions and various surgical methods, and to puts forward a possible development direction in the future.