The advent of metasurface technology has revolutionized the field of optics and photonics in recent years due to its capability of engineering optical wavefronts with well-patterned nanostructures at subwavelength scale. Meanwhile, inspired and benefited from the tremendous success of the “lab-on-fiber” concept, the integration of metasurface with optical fibers has drawn particular interest in the last decade, which establishes a novel technological platform towards the development of “all-in-fiber” metasurface-based devices. Thereby, this review aims to present and summarize the optical fiber-integrated metasurfaces with the current state of the art. The application scenarios of the optical fiber metasurface-based devices are well classified and discussed accordingly, with a brief explanation of physical fundamentals and design methods. The key fabrication methods corresponding to various optical fiber metasurfaces are summarized and compared. Furthermore, the challenges and potential future research directions of optical fiber metasurfaces are addressed to further leverage the flexibility and versatility of meta-fiber-based devices. It is believed that the optical fiber metasurfaces, as a novel all-around technological platform, will be exploited for a large range of applications in telecommunication, sensing, imaging, and biomedicine.