Abstract: With the improvement of cataract surgery technology and the development of design and materials of the intraocular lenses (IOL), cataract surgery is gradually becoming refractive surgery. Patients also pursue better postoperative visual experiences. However, corneal astigmatism is always the major factors affecting the postoperative visual quality. Toric IOL is a common clinical method for correcting preexisting astigmatism in patients with cataracts. Misalignment of Toric IOL is an important factor that affects the effect of astigmatism correction. In order to reduce the misalignment of Toric IOL to achieve great postoperative results, we should pay attention to ocular biometry, Toric IOL power and calculation, marking techniques before the surgery, master the standard surgical procedure, and understanding the impact of various types of Toric IOL and patients’ axial length on the rotational stability postoperatively.