The design of Pt-based electrocatalysts with high efficiency towards acid oxygen reduction reactions is the priority to promote the development and application of proton exchange membrane fuel cells. Considering that the Pt atoms on the surfaces of the electrocatalysts face the problems of interference of non-active species (such as OHad, OOHad, CO, etc.), high resistance of mass transfer at the liquid–solid interfaces, and easy corrosion when working in harsh acid. Researchers have modified the surfaces’ local environment of the electrocatalysts by introducing surface modifiers such as silicon or carbon layers, amine molecules, and ionic liquids on the surfaces of electrocatalysts, which show significant performance improvement. In this review, we summarized the research progress of surface modified Pt-based electrocatalysts, focusing on the surface modification strategies and their mechanisms. In addition, the development prospects of surface modification strategies of Pt-based electrocatalysts and the limitations of current research are pointed out.