ABX3 type metal halide perovskite solar cells (PSCs) have shown efficiencies over 25%, rocketing toward their theoretical limit. To gain the full potential of PSCs relies on the understanding of the device working mechanisms and recombination, the material quality, and the match of energy levels in the device stacks. In this review, the importance of designing PSCs from the viewpoint of surface/interface science studies is presented. For this purpose, recent case studies are discussed to demonstrate how probing of local heterogeneities (e.g., grains, grain boundaries, atomic structure, etc.) in perovskites by surface science techniques can help correlate material properties and PSC device performance. At the solar cell device level with active areas larger than millimeter scale, the ensemble average measurement techniques can characterize the overall average properties of perovskite films as well as their adjacent layers and provide clues to understand better the solar cell parameters. How generation and healing of electronic defects in perovskite films limit the device efficiency, reproducibility, and stability, and induce the time‐dependent transient behavior in the current‐voltage curves are also the central focus of this review. On the basis of these studies, strategies to further improve efficiency and stability, as well as reducing hysteresis are presented.