In conventional wastewater bio-treatment, little attention has been paid on the bio-degradation of grease, causing low efficiency in the process, and thereby, further study should be made on the development and application of related mature and effective bio-treatment techniques. This paper summarized the pathways and mechanisms of grease bio-degradation in wastewater treatment, with the focus on the research progress in the functional microbes involved in lipid hydrolysis and long-chain fatty acid degradation, and briefly introduced a series of new treatment technologies based on the habitat differences of the functional microbes. The key breakthrough directions in the technological study of grease bio-degradation were prospected, expecting to provide theoretical guidance to the development of the related technologies.