On May 2025, European Association for the Study of the Liver published Clinical Practice Guidelines on extrahepatic abdominal surgery in patients with cirrhosis and advanced chronic liver disease. The guidelines systematically elaborate on the preoperative assessment, various surgical indications, and perioperative management of patients with cirrhosis or advanced chronic liver disease undergoing extrahepatic surgery, in order to provide comprehensive recommendations for preoperative assessment and perioperative management in patients with cirrhosis and advanced chronic liver disease who have surgical indications. This article makes an excerpt of the methodology and key recommendations of the guidelines.