Milk fat content is an important indicator of milk quality because of nutritional and technological aspects of dairying. In this sense the milk fat determination is important practice procedure. The work goal was to do an effective overview and comparison of reference and routine methods of fat determination during their development. Nowadays, there exist a number of methods for determining milk fat content. Reference methods require accurate analysis in compliance with the International Standard ISO, whereas routine methods perform analysis using routine instrumental techniques for faster and cheaper results with acceptable accuracy. Quality control measures have a significant role for result determination reliability and they include internal quality controls, external quality controls, precision of evaluation, and blank samples. In conclusion, due to continuous development and improvement, routine methods will be used more often.