Thin and ultrathin polymer films play an important role in a variety of applications, such as electronics, liquid crystal alignment, adhesion, and so on. It is well established that the properties of semicrystalline polymeric materials depend remarkably on their multiscale structures; for example, an increase of more than a factor of 100 has been reported for the electrical conductivity of doped and aligned conjugated macromolecules compared with their nonoriented counterparts. Consequently, sophisticated methods have been developed for preparing highly oriented polymer ultrathin films. It should be pointed out that the highly oriented crystalline structure of polymers can be maintained only at temperatures below their melting points. Otherwise, structure rearrangement will result in the loss of orientation and therefore the properties. Therefore, self‐repairing of highly oriented polymer structures is of great significance for the long‐term application of polymer thin films in some specific fields. In this review paper, the preparation and self‐repair of the highly oriented structure of polymer thin films is described in the hopes that this will afford useful information for further development of polymeric materials for advanced applications.