Thermoinhibition refers to the inability of seeds to germinate when inhibited by high temperatures, but when environmental conditions return to normal, the seeds are able to germinate rapidly again, which is different from thermodormancy. Meanwhile, with global warming, the effect of the thermoinhibition phenomenon on the yield and quality of crops in agricultural production is becoming common. Lettuce, as a horticultural crop sensitive to high temperature, is particularly susceptible to the effects of thermoinhibition, resulting in yield reduction. Therefore, it is crucial to elucidate the intrinsic mechanism of action of thermoinhibition in lettuce seeds. This review mainly outlines several factors affecting thermoinhibition of lettuce seed germination, including endosperm hardening, alteration of endogenous or exogenous phytohormone concentrations, action of photosensitizing pigments, production and inhibition of metabolites, maternal effects, genetic expression, and other physical and chemical factors. Finally, we also discuss the challenges and potential of lettuce seed germination thermoinhibition research. The purpose of this study is to provide theoretical support for future research on lettuce seed germination thermoinhibition, and with the aim of revealing the mechanisms and effects behind lettuce seed thermoinhibition. This will enable the identification of more methods to alleviate seed thermoinhibition or the development of superior heat-tolerant lettuce seeds.