Desalination membrane using zwitterion modification provides a significant opportunity to enhance excellent properties for rejecting salt and salt ions. The outstanding properties are designed by positive and negative charges attached to the membrane surface, including water permeability, salt permeability, fouling, and hydrophilicity of the membrane surface. The hydrophilic membrane, which is mentioned as one of the types of desalination membrane, presents the ability to repel salt and salt ions and pass the water. The modification of hydrophilic membranes is also affected by several factors, including water permeability, salt permeability, fouling of membrane surfaces, crossflow velocity, transmembrane pressure, and temperature. Regarding membrane modification, zwitterion has been applied for several ranges, such as the hemodialysis process, live cell imaging, antibacterial surfaces, and wound dressing. However, using a zwitterion modification membrane for desalinating water containing salt content, including brackish water, has yet to be developed. In addition, literature reviews related to polymer membranes for brackish water desalination have never been comprehensively documented. Thus, this review article addresses the zwitterion modification for desalination membranes, which can reject salt and salt ions in brackish water. Furthermore, the mechanism of zwitterion modification for desalination membranes has been presented. Finally, the challenge of zwitterion modification for desalination membranes has been evaluated to inspire insight for future studies.