Spent carbon cathode (SCC) is one of the major hazardous solid wastes generated during the overhaul of electrolysis cells in the aluminum production process. SCC is not only rich in carbon resources but also contains soluble fluoride and cyanide, which gives it both recycling value and significant leaching toxicity. In this study, we explore the properties, emissions, and disposal strategies for SCC. Pyrometallurgy involves processes such as vacuum distillation, molten salt roasting, and high-temperature roasting. Hydrometallurgy describes various methods used to separate valuable components from leachate and prepare products. Collaborative disposal plays a positive role in treating SCC alongside other solid wastes. High-value utilization provides an approach to make full use of high-purity carbon-based materials. Finally, we analyze and summarize future prospects for the disposal of SCC. This study aims to contribute to the large-scale treatment and resource utilization of SCC while promoting circular economy principles and green development initiatives.