Objective To analyze the effect of communication art in psychological counseling for patients undergoing eye plastic surgery. Methods A total of 80 patients with eye plastic surgery admitted to Shan County Haijiya Hospital from January to December 2020 were selected as the research objects, and they were divided into control group and observation group by random number table method, with 40 cases in each group. The control group was given psychological counseling during the perioperative period, and the observation group was intervened with communication art on the basis of the control group. The anxiety, depression, hope level, body image disorder, personality disorder and self-esteem level of the two groups were compared. Results The anxiety score of the observation group was better than that of the control group at 1 and 7 days after operation, and the difference was statistically significant (P