Objective To evaluate the quality and contents of guidelines on assessment and management of breast cancer related lymphedema (BCRL), and to provide reference for formulating domestic clinical practice guideline. Methods We systematically searched guideline databases,related professional society/organization websites and electronic databases for guidelines involving the assessment and management of BCRL. Quality of the included guidelines was assessed by using the Appraisal of Guidelines for Research and Evaluation (AGREE Ⅱ), and the recommendations were summarized. Results Four guidelines were included, of which two were grade A and two were grade B. Recommendations involved assessment, treatment and health guidance. Conclusion The included guidelines show relatively high quality and cover comprehensive BCRL assessment methods, which have certain guiding significance for clinical practice in our country. However, treatment methods are incomplete, indicating there is a need to develop domestic guideline on BCRL evaluation and management by adding traditional Chinese medicine-based nursing. 