Paper, nanocellulose, and other polysaccharide-based materials can be excellent candidates for food packaging barrier layers, except that they tend to be vulnerable to moisture. This article reviews published research describing various chemical treatments having the potential to render hydrophobic character to such layers. Emphasis is placed on systems in which hydrophobic monomers are used to treat either particles or sheets comprised largely of polysaccharides. A goal of this review is to identify combinations of materials and procedures having promise for scale-up to industrial production, while providing effective resistance to moisture. The idea is to protect the underlying polysaccharide-based barrier layers such that they can continue to impede the transfer of such permeants as oxygen, greases, flavor compounds, and water vapor. A further goal is to minimize any adverse environmental impacts associated with the treatments. Based on the research articles considered in this review, promising hydrophobic treatments can be achieved involving silanes, ester formation, other covalent interactions, plasma treatments, and to some extent by various treatments that do not require formation of covalent bonds. The article is designed such that readers can skip ahead to items of particular interest to them.