Nomex honeycomb composites are widely recognized for their advanced structural applications in the aerospace, automotive and defense industries. These materials are distinguished by exceptional characteristics such as thin cell walls and a hexagonal structure, as well as layers made of phenolic resins and aramid fibers. However, complex machining and the maintenance of high quality at a large scale presents considerable challenges. This study provides a comprehensive review of the literature on the processing of Nomex composites, highlighting the design challenges related to processing technologies, the impact of conventional and ultrasonic processing methods, and the associated mechanical properties and microstructural topographies. Moreover, it reviews research advances in machining techniques, current challenges, and future perspectives, thereby providing valuable guidance to ensure the optimal cutting of Nomex honeycomb composite structures (NHCs).