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Intraoperative blood salvage (IBS) is a life support technology that uses a series of artificial devices to treat the recycled blood during surgery, which then is transfused back into the patients. Currently, it′s the key method for perioperative blood protection. With the continuous development of science and technology as well as the deepening of researches, it has been realized that the damage of autologous blood recycling to red blood cells can not be ignored. This paper reviews the current progress of IBS researches and their effects on RBC.