Cancer stem cells (CSCs) are selfârenewable cell types that are identified in most types of liquid and solid cancers and contributed to tumor onset, expansion, resistance, recurrence, and metastasis after therapy. CSCs are identified from the expression of cell surface markers, which is tumorâtype dependent. The transition between CSCs with cancer cells and other nonâCSCs occurs in cancers, which is possibly under the control of signals from CSCs and tumor microenvironment (TME), including CSC niche. Cancerâassociated fibroblasts are among the most influential cells for promoting both differentiation of CSCs and dedifferentiation of nonâCSCs toward attaining a CSCâlike phenotype. WNT/βâcatenin, transforming growth factorâβ, Hedgehog, and Notch are important signals for maintaining selfârenewal in CSCs. An effective therapeutic strategy relies on targeting both CSCs and nonâCSCs to remove a possible chance of tumor relapse. There are multiple ways to target CSCs, including immunotherapy, hormone therapy, (mi)siRNA delivery, and gene knockout. Such approaches can be designed for suppressing CSC stemness, tumorigenic cues from TME, CSC extrinsic and/or intrinsic signaling, hypoxia or for promoting differentiation in the cells. Because of sharing a range of characteristics to normal stem/progenitor cells, CSCs must be targeted based on their unique markers and their preferential expression of antigens.