Abstract: Clinical practice guideline adaptation (hereinafter referred to as "guideline adaptation"), is the consolidation and revision of existing high-quality guidelines so that the recommendations are better suited to the specific needs of different regions, thereby guiding optimal clinical practice. Currently, the number of guideline adaptations is increasing internationally, but the quality of their reporting still needs to be improved. In 2022, the RIGHT-Ad@pt guideline adaptation reporting checklist was released. It provides a detailed description of the guideline adaptation process and reporting content, significantly enhancing the rigor, transparency, and standardization of guideline adaptations. This paper interprets and analyzes the 34 items on the checklist, aiming to provide a reference for guideline adapters to standardize the reporting process.