Objective To conduct a scoping review of the use of mindfulness-based interventions (MBIs) in the management of acute postoperative pain and to provide a reference for future research and clinical practice. Methods Relevant Chinese and international databases were systematically searched from inception to October 2025.Following the methodological framework for scoping reviews, two researchers independently screened the literature, extracted the data, and synthesized and analyzed the findings. Results A total of 21 studies were included.The study populations and clinical settings comprised inpatients undergoing surgery under ge-neral anesthesia, patients undergoing procedures under local anesthesia in interventional suites or outpatient operating rooms.MBIs were delivered online, in person, or through blended formats.The intervention approaches included mindfulness-based stress reduction, mindfulness-based cognitive therapy, acceptance and commitment therapy, and brief mindfulness interventions.Intervention frequency ranged from twice daily to once weekly, and individual sessions lasted from 3 minutes to 2.5 hours.Outcome mea-sures included pain-related outcomes, postoperative opioid consumption, physical functioning, and psychological status. Conclusion MBIs play a positive role in the management of acute postoperative pain.Future studies could broaden its scope of application, explore individualized intervention strategies through multidisciplinary collaboration, develop different standardized protocols, and conduct more high-quality randomized controlled trials to test its effectiveness.