Metal organic frameworks (MOFs) have recently attracted considerable research interest in several fields from coordination chemistry and materials science to engineering and medicine not only due to energy and environmental issues but also due to the need for new paradigms of efficiency and sustainability according to the requirements of the 21st century global society. Because of their crystalline and organic-inorganic nature, they are able to crystallize constituting intergrown architectures ductile enough to be patterned, with the use of appropriate techniques, as nano- and micro-devices with multiple applications. This perspective comprehensively summarizes the recent state of the art in the use of top-down and bottom-up methodologies to create MOF structures with a defined pattern at the nano- and micro-scale.