Objective To investigate the effects of intraoperative hypothermia prevention strategies on wound infection risk, body temperature changes, and postoperative aesthetic satisfaction in patients undergoing abdominal surgery. Methods A total of 120 patients who underwent abdominal surgery from June 2023 to June 2025 were selected as the study subjects and randomly divided into a control group (60 cases) and an observation group (60 cases) using a random number table. The control group received routine temperature management, while the observation group received comprehensive hypothermia prevention strategies. The intraoperative body temperature changes, wound infection rates, wound healing-related indicators, and postoperative aesthetic satisfaction were compared between the two groups. Results The lowest intraoperative body temperature in the observation group was significantly higher than that in the control group, and the incidence of hypothermia was significantly lower (P<0.05). The observation group showed significantly lower wound infection rates, significantly shorter wound healing time, and significantly higher Grade A wound healing rates compared to the control group (P<0.05). Postoperative aesthetic satisfaction in the observation group was significantly higher than that in the control group (P<0.05). Conclusion Comprehensive hypothermia prevention strategies during surgery can effectively maintain stable intraoperative body temperature in patients undergoing abdominal surgery, reduce the risk of wound infection, promote wound healing, and improve postoperative aesthetic satisfaction.