Lithium-rich manganese-based layered oxides (LRMOs) have received attention from both the academic and the industrial communities in recent years due to their high specific capacity (theoretical capacity ≥250 mAhg-1), low cost, and excellent processability. However, the large-scale applications of these materials still face unstable surface/interface structures, unsatisfactory cycling/rate performance, severe voltage decay, etc. Recently, solid evidence has shown that lattice oxygen in LRMOs easily moves and escapes from the particle surface, which inspires significant efforts on stabilizing the surface/interfacial structures of LRMOs. In this review, the main issues associated with the surface of LRMOs together with the recent advances in surface modifications are outlined. The critical role of outside-in surface decoration at both atomic and mesoscopic scales with an emphasis on surface coating, surface doping, surface structural reconstructions, and multiple-strategy co-modifications is discussed. Finally, the future development and commercialization of LRMOs are prospected. Looking forward, the optimal surface modifications of LRMOs may lead to a low-cost and sustainable next-generation high-performance battery technology.