Blepharoptosis is one of the most common oculoplastic problems. There has been an ongoing debate regarding the choice of appropriate surgical approach and time for congenital blepharoptosis. This paper addresses several common misunderstandings regarding the diagnosis and treatment of blepharoptosis, as well as emphasizes the importance of the classification and preoperative evaluation of the blepharoptosis. Furthermore, some personal viewpoints on the choices of appropriate surgical approach and time for blepharoptosis are mentioned, which might initiate scientific argument and discussion to reach a consensus on the standardization of diagnosis and management of blepharoptosis in China.