Surgical treatment for malignant obstructive jaundice(MOJ)depends on the cause,location,and severity of the obstruction.In recent years,perioperative management of MOJ has garnered significant attention.Based on the pa-tient's condition,preoperative biliary drainage,endoscopic interventions,and stent placement are used to relieve the ob-struction during the perioperative period.Postoperatively,appropriate enteral nutritional support can be provided to reduce complications and improve the quality of life.At present,treatment strategies for malignant obstructive jaundice have be-come more diverse and comprehensive.Different treatment plans are selected based on the patient's disease course,ob-struction location,and tumor staging.This article reviews the recent advances in the comprehensive treatment of malignant obstructive jaundice and proposes future research directions to provide references for clinical application.