Personal thermal management clothing has garnered significant attention in recent years for offering innovative solutions to address extreme environments. By examining the “human-clothing-environment” system, we have analyzed the contribution and developmental trajectory of personal thermal management clothing, considering the diverse human needs and application environments. Local variations in human physiology necessitate localized thermal comfort solutions provided by personal thermal management clothing. Despite advancements, many Personal thermal management garments still encounter challenges such as bulky size, heavy weight, intricate donning process, subpar performance, limited temperature control, and low durability. Furthermore, aspects like comfort, ergonomics, and aesthetics, tailored to specific usage scenarios, have often been overlooked. Enhancing the standardized design and evaluation processes for personal thermal management clothing items is crucial to better cater to individual preferences and usage demands, offering recommendations for development to align with individual requirements, enhance effectiveness, and promote energy conservation.