Biportal endoscopic spinal surgery is a non-coaxial endoscopic technique, which has a clear field of view under the microscope and flexible operation during the surgery, and has been widely used in clinic. However, the popularity of this technology is still limited in China, and there are still controversies in naming, indications and contraindications. In order to promote the standardization of the clinical application of this technology, the Spinal Minimally Invasive Surgery Group of the Orthopedic Branch of the Chinese Medical Doctor Association organized domestic spinal endoscopic experts to write this consensus. This consensus makes an in-depth discussion on the definition and naming, technical features, key surgical problems, indications, contraindications, complications and skill training of biportal endoscopic spinal surgery, and forms 9 recommendations, aiming to standardize and promote the clinical application of this technology.