The development of refractive surgery and anterior segment imaging system improve the safety, efficacy, predictability, and stability of refractive procedure. Femtoseeond laser is used to create corneal flap, make the pre-cut channels for intra-corneal ring segment, and perform stromal keratotomy. Wavefront-guided excimer laser technology improves vision quality of postoperative eyes, as compared with conventional ablation. Corneal cross linking represents an entirely new approach for the treatment of keratoconus. Phakic intraocular lens implantation and refractive lens exchange play an important role to correct high myopia and hyperopia. Some surgeries for presbyopia are helpful to improve patients' life quality now. The article summarizes various new technologies for refractive surgery and anterior segment imaging system and looks forward to the future about the development of surgical procedure. The importance of knowledge of new technique should be emphasized and new technology in the fields of refractive surgery should be applied actively and carefully in clinical practice.