Smart bio-adhesive materials are a new type of adhesive that could adhere to tissue surface through bio-adhesion covalent and noncovalent interactions, including hydrogen bonding, electrostatic interactions, cation-π interactions, π-π interactions, Michael addition, Schiff base, amide bond and so on, which usually has a specific response to specific external and internal stimuli, such as in vivo (chemical components, pH, oxidants and enzymes) and in vitro (temperature, ultrasound, light) trigger types. Additionally, smart bio-adhesive materials have attracted great attention in clinical surgical applications due to its numerous advantages, including fast hemostasis, good biocompatibility, strong bio-adhesion, convenient use, simple preparation, excellent repair promoting performance and smart response effect. Among them, light responsive bio-adhesive materials, including ultraviolet (UV) light, visible and near infrared (NIR) light responsive bio-adhesive materials, have unique advantages such as non-contact, spatiotemporal regulation, strict tailoring, accurate positioning, simple operation and remote control, and which have been widely used in wound healing, tissue repair, antibacterial therapy, 3D printing, biomimetics and software devices, cell coating and culture, bio-production and patterning, and other applications. In addition to the widely used UV light responsive bio-adhesive materials, visible and NIR light bio-adhesive materials have received great attention in light responsive biomedical materials and bio-adhesive applications due to its unique features, including excellent and long tissue penetration depth, high stability, low damage to cells and human tissues, and low energy dosage. In this paper, response type of smart bio-adhesive materials is reviewed, and the research progress of UV light, visible and NIR light response bio-adhesive materials in recent years is mainly introduced, including classification, performance and specific application in biomedical field.