Abstract Metasurfaces have shown unparalleled controllability of electromagnetic (EM) waves. However, most of the metasurfaces need external spatial feeding sources, which renders practical implementation quite challenging. Here, a low‐profile programmable metasurface with 0.05λ 0 thickness driven by guided waves is proposed to achieve dynamic control of both amplitude and phase simultaneously. The metasurface is fed by a guided wave traveling in a substrate‐integrated waveguide, avoiding external spatial sources and complex power divider networks. By manipulating the state of the p‐i‐n diodes embedded in each meta‐atom, the proposed metasurface enables 1‐bit amplitude switching between radiating and nonradiating states, as well as a 1‐bit phase switching between 0° and 180°. As a proof of concept, two advanced functionalities, namely, low sidelobe‐level beam scanning and Airy beam generation, are experimentally demonstrated with a single platform operating in the far‐ and near‐field respectively. Such complex‐amplitude, programmable, and low‐profile metasurfaces can overcome integration limitations of traditional metasurfaces, and open up new avenues for more accurate and advanced EM wave control within an unprecedented degree of freedom.