This review aims to provide an overview of household biogas digester implementation in rural areas of Latin America. It considers the history of household digesters in Latin America, including technical, environmental, social and economic aspects. Several successful experiences have been promoted during the last decade, including the creation of the Network for Biodigesters in Latin America and the Caribbean (RedBioLAC) that provides a forum to coordinate implementation and research programs throughout the continent. Although the potential of this technology is well demonstrated, some barriers are identified, such as the need for technical improvements, lack of social acceptance and high investment costs. Thus, further efforts should be undertaken to overcome these barriers and improve the technical performance, social acceptance, economic benefits and environmental impact in order to enhance its widespread dissemination in energy poor communities.