Objective <p>To explore the management effect of a chain temperature management checklist in preventing hypothermia in patients undergoing urological robotic surgery during the perioperative period.</p> Methods <p>A total of 152 patients undergoing urological robotic surgery were enrolled in this study between March and September 2021 and again between March and September 2022. All patients were randomly divided into the control group (<i>n</i> = 76) and the intervention group (<i>n</i> = 76). The incidence of hypothermia and chills were compared between the two groups of patients, as well as implementation omission rates, thermal comfort scores and nurse satisfaction scores, following the construction and implementation of a chain temperature management checklist.</p> Results <p>The incidence of hypothermia and chills in the intervention group (10.5% and 13.2%, respectively) was lower than that in the control group (38.2% and 40.8%, respectively). The implementation omission rate in the intervention group (1.3%) was also lower than that in the control group (30.3%). The thermal comfort score in the intervention group (8.76 ± 1.31) was higher than that in the control group (5.78 ± 1.43). Additionally, the nurse satisfaction score was higher in the intervention group (98.89 ± 2.43) than in the control group (89.57 ± 3.75). The differences were all statistically significant (<i>p</i> &lt; 0.05).</p> Conclusion <p>Using a chain temperature management checklist in the temperature management of patients undergoing urological robotic surgery can reduce the incidence of low body temperature and shivering, decrease the rate of implementation omissions and improve patient thermal comfort and nurse satisfaction.</p>