Tenosynovial giant cell tumor (TGCT) is a rare locally invasive tumor that can occur in the hands, feet, maxillofacial region and other parts, presenting as pain, swelling and joint dysfunction. The tumor and subsequent treatments affect the quality of life of patients. Surgical resection is the main treatment for TGCT, but the postoperative recurrence rate is relatively high. Repeated surgeries can easily lead to joint function loss, secondary osteoarthritis, and local tissue defects or even deformities, thus causing a double blow to the patient's aesthetic appearance and psychological state. In recent years, with the increasing emphasis on the quality of life and aesthetic appearance, postoperative aesthetic plastic repair has gradually become a research hotspot for improving patients' function and appearance. This paper reviews the theoretical basis, research progress and challenges of aesthetic reconstruction after TGCT surgery, aiming to provide a reference for future clinical practice.