This paper gives a comprehensive review of advanced cooling schemes and their applications to the permanent magnet synchronous motors (PMSMs), as well as investigating the electrical motor’s topologies its thermal design issues, materials and performances. Particularly, the electromagnetic and electric performances, machine sizing, together with the structural design, are given. In addition, the work addresses the motor’s material design and properties along with its insulation performance, which is the main goal of optimization. Mainly, thermal mapping with analysis is provided according to the different cooling methods, including air-cooling, water-cooling, oil-cooling, heat-pipe-cooling, potting silicon gelatin cooling, and as well as cooling strategies for tubes and microchannels. The most common special features and demands of the PMSMs are described in the appearance of the motor’s failures caused by uncontrolled temperature rise. In addition, heat sources and energy losses, including copper loss, core loss versus motor speed, and output power, are analyzed. The review of the proposed cooling methods that will achieve the required heat transfer of the PMSM is presented with numerical simulations and measurements data. A review of numerical methods and results, including the finite element methods (FEM), such as the Ansys CFD software, to obtain a high-accuracy thermal mapping model of the PMSM system is given. The revived methods and design requirements due to PMSM temperature profile and cooling flow at different rotor speeds and torque loads are investigated. Finally, the motor design recommendations, including the newly developed cooling solutions, which enable it to effectively redistribute the temperature and heat transfer, increasing the efficiency of the PMSM machine, are laid out.