•An effective topology description model using the T-splines with Bézier extraction is developed.•A numerical implementation framework of the T-splines-based isogeometric analysis (T-IGA) for plate and shell structures with arbitrary geometries is developed.•A T-splines-oriented isogeometric topology optimization (T-ITO) method with the promising effectiveness and superior benefits is proposed.•The critical design problem of complex plate and shell structures is resolved.•Several numerical examples for plate and shell structures are studied to demonstrate the effectiveness and indispensability of the T-ITO method. Recently, the non-uniform rational B-splines (NURBS) have been considerably employed in modeling plate and shell structures, or developing the related size, shape or topology optimization methods for their design. However, the NURBS with the tensor product feature strongly hinders the effectiveness of the optimization on complex structures. The primary intention of the current research is to propose a new T-splines-oriented Isogeometric Topology Optimization (T-ITO) method and then address the critical design problem of plate and shell structures with arbitrary shapes in practical applications. Firstly, the Bézier extraction is utilized in the T-splines to map the geometrical model into a family of Bézier elements, each of which is presented by a local Density Distribution Function (DDF) for elementary topology. A global DDF is constructed by an assembly of all local DDFs with a natural connection to the present structural topology. Secondly, the T-splines-based IsoGeometric Analysis (T-IGA) formulation with the Bézier extraction for complex plate and shell structures is developed using the Kirchhoff-Love theory, where a universal numerical implementation framework is constructed, including the Rhino, MATLAB, export modules with all geometric information and import modules for the analysis. Thirdly, a mathematical formulation for plate and shell structures with arbitrary geometries is developed using the T-ITO method to improve structural loading-capability, and the sensitivity analysis with respect to design variables is rigorously derived in detail. Finally, several numerical examples of plate and shell structures with both regular and elaborate geometries are tested to demonstrate the validity, effectiveness, superiorities and indispensability of the T-ITO method.