Cancer is the second leading cause of death among human diseases.Immunotherapy has opened a new chapter in cancer treatment. However, the emergence of immune escape mechanisms severely limited its application. The high expression of PD-L1 on tumour cells is an important means for cancer cells to achieve immune escape via binding to PD-1 on immune cells. Recent studies have shown that PD-L1 expression in most cancer cells is over-glycosylated.Glycosylation is a fundamental and extensive post-translational modification of eukaryotic membrane-binding proteins, which affects a variety of biological activities, including protein folding, solubility, stability and ligand-receptor interactions. PD-L1 glycosylation initiates in the endoplasmic reticulum (ER) and completes in the Golgi apparatus, which has a complex relationship with cancer development. Importantly, non-glycosylated PD-L1 attenuates protein stability and PD-1 interactions. These processes are essential regulatory mechanisms that modulate immunosuppression and immune surveillance in cancer patients.Therefore, non-glycosylated PD-L1 may be a potentially promising strategy to improve the efficacy of checkpoint blockade therapy for cancer. In this review, we have described the PD-L1 glycosylation processes and provided evidence for the role of non-glycosylated PD-L1 in anti-tumour-related signalling pathways. Furthermore, strategies for non-glycosylation of PD-L1 using small molecule inhibitors, gene therapy and various enzymes in the synthetic glycosylation pathway are discussed. Finally, the detection of PD-L1 expression is enhanced by its deglycosylation, and we have summarized the development, application and clinical application potential of antibody therapies targeting PD-1/PD-L1 glycosylation.