This review article explores the advancement of metasurfaces in wearable antenna design for off-body communications. The wearable antenna needs to be compact, flexible, and, most importantly, should have less back radiation. In this context, wearable antennas that are inspired by metasurfaces are a good choice. Metasurface can make the antenna compact and reduce the back-radiated waves, which lowers the specific absorption rate (SAR) and improves the antenna's performance. In addition, the metasurface can also generate circular polarization (CP) by carefully rotating the electromagnetic (EM) waves incident on it and multi-band by simultaneously exciting its multiple modes. Using the aforementioned features provided by the metasurface, the surveys are segregated as single-band with linear polarizations (LP), single-band with CP, dual-band with LP, dual-band with dual polarization, and dual-band with dual CP. Prior to the survey, the challenges and considerations for wearable antenna design as well as the theoretical perspective behind performance improvements are discussed. Also, a conventional unit-cell of the metasurface is theoretically designed using the discussed theories and validated using CST Microwave Studio, which shows good agreement with each other.