ObjectivePostpartum stress urinary incontinence is a common postpartum complication. Acupuncture combined with pelvic floor rehabilitation training has certain clinical effects. This systematic review and meta-analysis aims to investigate the efficacy of acupuncture combined with pelvic floor rehabilitation training in the treatment of postpartum stress urinary incontinence.Data sourcesWe searched randomized controlled trials in eight databases including PubMed, Web of Science, EMBASE, Cochrane Library, CNKI, Wanfang, VIP, and Sinomed, as well as the Chinese Clinical Trial Registry and ClinicalTrials.gov databases. The search was conducted on 6 February 2025.MethodsAfter the retrieved literature were screened and the relevant data were extracted, RevMan 5.4 software was used to conduct the statistical analysis. The risk of bias was assessed using the methods recommended in the