This paper reviews the recent research of nanostructured Mg-Al hydrotalcite (Mg-Al HT) and its application as an efficient solid base catalyst for the synthesis of fine chemicals. Mg-Al HT has many beneficial features, such as low cost, selectivity, catalytic properties, and wide range of preparation and modification methods. They hold promise for providing sought-after, environmentally friendly technologies for the 21st century. Replacement of currently used homogeneous alkaline bases for the synthesis of fine chemicals by a solid catalyst can result in catalyst re-use and waste stream reduction. We introduce briefly the structure, properties and characterization of the nanostructured Mg-Al HT. The efficacy and benign applications of Mg-Al HT as an alternative solid base to homogenous catalysts in the synthesis of fine chemicals are then reviewed. The challenges for the future applications of Mg-Al HT in the synthesis of fine chemicals in terms of green protocol processes are discussed.