Objective To analyse the tarsus plate reconstruction methods after eyelid malignant tumor excision. Methods From January 2007 to december 2013, 68 eyes of 68 cases of eyelid malignant tumor treated in Shenzhen Eye Hospital were retrospectively analysed. Among those patients, 46 cases were basal cell carcinoma, 12 cases were meibomian glands cancer and 10 cases were eyelid squamous cell carcinoma. According to the location and scope of tarsus defect after resection, different reconstruction methods were adopted. For the defect range larger than 1/2 of the tarsus, the hard palate mucosa transplantation was performed; For the defect range greater than 1/4 and less than 1/2, the sliding tarsoconjunctival flap forming the opposing lid for repair of tarsus plate was used. For the defect range less than 1/4, direct suture was performed to fix tarsus. Results In the 68 patients, 42 patients got a follow-up observation.The shortest time of observation was 3 months, and the longest time was 72 months. Palpebral margin notch occurred in 3 cases, trichiasis occurred in 4 cases, and the operation was performed again in 2 cases because of recurrence of basal cell carcinoma. The eyelid contour and function were recovered in all the other patients. Conclusion For tarsal defect after eyelid malignant tumor excision, according to the range and position, taking appropriate reconstruction methods can obtain the ideal effect. Key words: Malignant tumor, eyelid; Eyelid defect; Tarsus plate reconstruction; Eyelid reconstruction