As orthopedic surgery advances rapidly toward precision, digitization, and personalization, intelligent sensing dynamic guidance——an emerging technology, provides objective evidence for surgical judgment through real-time quantification of intra-operative biomechanical and spatial position data. It finds applications in joint surgery, spine surgery, sports medicine, and trauma management. To promote the clinical application of this technology, the Joint Surgery Group of Chinese Orthopaedic Association issued the “Expert consensus on the application of intelligent sensor-based dynamic guidance technology in orthopaedic surgery” by the modified Delphi method (five rounds of expert assessment), including on the clinical evidence and experience. This consensus includes the indications, technical characteristics, effectiveness, safety, and comparisons between this technology and traditional therapy or other digital-intelligent technologies, and 14 recommendations are elaborated. It provides practical guidance for clinical practice and facilitates further dissemination and implementation of intelligent orthopedic surgery in China.