Upconversion emissions from lanthanide-doped nanocrystals have sparked extensive research interests in nanophotonics, biomedicine, photovoltaics, photocatalysis, etc. Rational modulation of upconversion emissions is highly desirable to meet the requirements of specific applications. Among the diverse developed methods, local structure engineering is fundamentally feasible, through which the upconversion emission intensity, selectivity, wavelength shift, and lifetime can be tuned effectively. The underlying mechanism of the local-structure-dependent upconversion emissions lies in the degree of parity hybridization and energy level splitting of lanthanide ions as well as the interionic energy transfer efficiency. Over the past few years, there has been significant progress in local-structure-engineered upconversion emissions. In this Perspective, we first introduce the principles of upconversion emissions and typical characterization methods for local structure. Subsequently, we summarize recent achievements in tuning of upconversion emissions through local structure engineering, including host composition adjustment, external field regulation, and interfacial strain management. Finally, we propose a few perspectives that should tackle the current bottlenecks. This Perspective is expected to deepen the understanding of local-structure-dependent upconversion emissions and arouse adequate attention to the engineering of local structure for desired properties of inorganic nanocrystals.