This article provides an overview on the design, fabrication and characterization of the most widely used cathode buffer layers (CBLs) constructed with pristine zinc oxide (ZnO), doped-ZnO, and ZnO-based composites as well as the surface modified ZnO-based CBLs for the improvement of power conversion efficiency (PCE) and long-term device stability of inverted polymer solar cells (PSCs). To achieve high PCE in inverted PSCs, the selection of an appropriate material to form the high quality CBL so as to optimize the electron collection and transport is particularly important. Among the different materials for CBL in inverted PSCs, ZnO has attracted most extensive research in view of its relatively high electron mobility, optical transparency, ease synthesis with versatile morphologies via low cost solution methods at low temperatures, and being environmentally stable. The research has revealed that the electronic processes at the interface between ZnO CBL and polymer active layer play an important role in determining the solar cells performance, and such processes are related to the ZnO CBL in terms of its morphology, microstructure, doping and surface modification. This review attempts to give a general review to better understand the impacts of (1) morphology, (2) thickness, (3) nanostructures, (4) doping, (5) surface modification and (6) composition/hybrids of ZnO CBLs on the solar cells performance. The fundamental understanding of the rapid progress of interfacial engineering made in PSCs would also be beneficial to the development of perovskite solar cells due to similar energy level and device structures.Fig. 12 (a) Schematic illustration of device structure with ZnMgO CBL. (b) Energy levels of the components in the inverted PSCs with various ZMO CBLs. (c) Optical absorption spectra of ZMO films. The inset shows an increase in the bandgap of ZMO films with the increasing of Mg content (x). (d) J-V curve of the device with the ZMO ( x = 0.3) CBL. 48 Fig. 13 (a) Chemical structures of PTB7-Th, PC 71 BM and BisNPC60-OH, (b) Schematic illustration of the proposed cathode interlayer from XPS depth profile; (c) Energy levels diagram for ZnO, InZnO, ZnO-BisC60 and InZnO-BisC60 determined from ultraviolet photoelectron spectroscopy (UPS) and UV-Vis results and for all the components in the inverted PSCs.