Membrane distillation (MD) is an attractive separation process that can work with heat sources with low temperature differences and is less sensitive to concentration polarization and membrane fouling than other pressure-driven membrane separation processes, thus allowing it to use low-grade thermal energy, which is helpful to decrease the consumption of energy, treat concentrated solutions, and improve water recovery rate. This paper provides a review of the integration of MD with waste heat and renewable energy, such as solar radiation, salt-gradient solar ponds, and geothermal energy, for desalination. In addition, MD hybrids with pressure-retarded osmosis (PRO), multi-effect distillation (MED), reverse osmosis (RO), crystallization, forward osmosis (FO), and bioreactors to dispose of concentrated solutions are also comprehensively summarized. A critical analysis of the hybrid MD systems will be helpful for the research and development of MD technology and will promote its application. Eventually, a possible research direction for MD is suggested.