This paper introduces a localized meshless method to analyze time-harmonic acoustic wave propagation on curved surfaces with periodic holes/inclusions. In particular, the generalized finite difference method is used as a localized meshless technique to discretize the surface gradient and Laplace-Beltrami operators defined extrinsically in the governing equations. An absorbing boundary condition is introduced to reduce reflections from boundaries and accurately simulate wave propagation on unclosed surfaces with periodic inclusions. Several benchmark examples demonstrate the efficiency and accuracy of the proposed method in simulating acoustic wave propagation on surfaces with diverse geometries, including complex shapes and periodic holes or inclusions.