Shared decision making (SDM) model is a collaborative process between the physician and patient to make a clinical decision. Doctors explain relevant knowledge of disease and treatment options to the patients. The patients' preference and values are well taken for reaching the final medical decision through a consensus way. It has been broadly applied in clinical practice. In orthopaedics, the SDM can improve clinical efficiency, patient knowledge and patient satisfaction, and more efficient in clinical practice. However, there are also some significant challenges to the process of incorporating SDM into orthopaedic practice. Orthopaedics is a main field in surgical practice. Clinical pathways are used for the treatment of some orthopaedics disorders. There are subjective and objective limiting factors for the application of SDM in orthopaedic surgery. It needs to be developed. This article comprehensively reviewed the application of SDM in orthopaedic surgery.