Folded lenses offer advantages in terms of lightness and thinness, but they have limitations when it comes to correcting aberrations. In this paper, we propose a novel approach to address this issue by incorporating metasurfaces in the design of folded optical systems. Specifically, a folded refractive-metasurface hybrid annular aperture folded lens (AFL) is introduced. The structural characteristics of the AFL imaging system are analyzed to investigate the blocking ratio, thickness, and light collection capability of the ring aperture system. Additionally, a hybrid optical integration design using Zemax software is proposed for the metasurfaces. A quadruple-folded AFL working in the mid-infrared waveband is then designed. The superstructure surface is analyzed, and its processability is discussed. The results demonstrate that the reflective-metasurface hybrid AFL significantly improves the imaging quality of this type of optical system while meeting the required design accuracy. © 2024 Optica Publishing Group under the terms of the Optica Open Access Publishing Agreement.