Cryopreservation of semen is an important interdisciplinary field at the intersection of reproductive biotechnology and cryobiology, and holds significant value for the genetic rescue of endangered species, long-term preservation of germplasm resources, and management of reproduction in livestock and aquaculture. Although this technology is relatively well established in fish and terrestrial mammals, it still faces numerous challenges in marine mammals, particularly cetaceans. The Yangtze finless porpoise (Neophocaena asiaeorientalis asiaeorientalis), a rare and endemic freshwater porpoise of China, remains at an early stage of research regarding semen cryopreservation, and there is an urgent need to develop a technical system tailored to its unique physiological characteristics. Literature was searched in PubMed, Web of Science, and CNKI from database inception to May 2025. This structured narrative review was based on 77 core publications, including eight original studies on cetacean semen cryopreservation. This structured narrative review synthesizes evidence from cetacean semen cryopreservation research, with particular emphasis on technical insights from the bottlenose dolphin (Tursiops truncatus), Pacific white-sided dolphin (Lagenorhynchus obliquidens), killer whale (Orcinus orca), and beluga (Delphinapterus leucas). Additionally, it incorporates advances in extender formulations and cryoprotectants from studies on other species to summarize key technical parameters suitable for the cryopreservation of Yangtze finless porpoise semen, aiming to provide a theoretical basis and practical framework for establishing an efficient and safe cryopreservation system for this species.