Disclosed are a method of transmitting and receiving a physical downlink shared channel in a wireless communication system and an apparatus supporting the method. More specifically, the method performed by a user equipment may comprise transmitting, to a base station (BS), capability information including first information indicating support for a PDSCH repetition-related operation; receiving, from the BS, an higher layer signal including second information for configuring whether to enable the PDSCH repetition-related operation; receiving Downlink Control Information (DCI) related to reception of a PDSCH repetition from the BS when the second information is configured as enable; and receiving the PDSCH repeatedly from the BS based on the DCI.