In arid and semiarid areas with scarce precipitation, strong evaporation, and fragile ecosystems, rivers and groundwater interact frequently. Dynamic hydrological changes and solute transport jointly determine the evolution of the landscape in riparian zones, resulting in the formation of a landscape ecological pattern in arid areas that is unique and includes a system of rivers and lakes. In recent decades, unsustainable and mono-purpose grey infrastructure has been implemented in many arid areas, and the effect of river-groundwater interactions on the landscape ecological pattern in riparian zones has often been neglected. These processes have triggered variations in or even the reversal of landscape ecological patterns in these arid areas. This study selected the arid and semiarid basin in northwestern China as the study area. Multiple methods were used to study the evolution of the landscape ecological pattern in the riparian zones driven by typical hydrological processes from the perspective of river-groundwater transformation. Three results were obtained from the analysis: (1) The driving force of the evolution was identified, and the spatial geological heterogeneity, meteorological and hydrological conditions, and river-groundwater interactions played dominant roles in the evolution of the landscape ecological pattern in the riparian zones. (2) Human activities and climate change controlled the direction and intensity of landscape evolution. (3) Pathways for maintaining a healthy landscape ecological pattern in riparian zones and suggestions for identifying the key issues that should be studied in the future were proposed. This paper primarily contributes to a better understanding of landscape ecological patterns in the riparian zone in arid areas from the watershed river-groundwater transformation perspective, thereby promoting integrated watershed management.