A novel high-gain polarization reconfigurable antenna composed of a polarization conversion metasurface (PCM) and a linearly polarized source patch antenna is presented in this article. The PCM is placed above the source patch antenna with an air gap. The proposed PCM can convert the linear polarization (LP) wave radiated by the source patch antenna to LP wave, right-hand circular polarization (RHCP) wave, and left-hand circular polarization (LHCP) wave by rotating the PCM around the center of the antenna. Meanwhile, the proposed PCM can serve as the partially reflective surface (PRS) of a Fabry-Perot (FP) resonant cavity which can achieve gain enhancement. In order to validate the performance of the proposed design, a prototype antenna is fabricated and measured. Simulated and measured results agree well. From 10.43 GHz to 11.2 GHz, the polarization reconfiguration can be achieved by rotating the PCM to different angles while maintaining the high gain performance simultaneously.