The problem of removing NOx and carbon particle emissions from diesel engines has been a challenge in the field of environmental protection, which is prompting people to actively explore ways to improve the efficiency of pollutant emission treatment. Due to the high price of precious metals, developing an alternative catalytic material with high catalytic activity and stability is a difficult task. Perovskite, with its stable and flexibly variable crystal structure, has become a research hotspot in the field of catalysis. This paper discusses the structure of perovskite catalysts and the mechanism behind the simultaneous catalytic oxidation of diesel engine soot and NOx. Meanwhile, it provides a comprehensive review of the preparation methods and A/B site modification strategies, establishing a foundation for the synthesis and A/B site modification of perovskite catalysts capable of catalyzing the oxidation of soot and NOx simultaneously. Additionally, this article offers an outlook on the challenges and future development of perovskite catalysts in this field.