Rare earth ions doped Gd2O2S scintillators are the new type of oxysulfide scintillators, which have been developed since 1980s. The Gd2O2S matrix with high density and high thermal neutron absorption cross section has high X ray and thermal neutron stopping ability. The doping of different rare earth ions (Pr 3+ ,Tb 3+ , etc.) shows fast decay or high light yield, which plays a very important role in the application of scintillation. The composition control of oxysulfide is always the key problem to be solved in the synthesis process. However, the high melting point of Gd2O2S material and the serious volatilization of sulfur restrict the preparation of Gd2O2S single crystals, with high optical quality and excellent scintillation performance. Ceramic is the main application form of Gd2O2S scintillation material. The pure phase Gd2O2S phosphors with small particle size, narrow particle size distribution and low agglomeration is the key to sintering high quality scintillation ceramics. The Gd2O2S scintillation ceramics prepared by simply increasing the sintering temperature will produce a large number of sulfur vacancies and oxygen vacancies, which will reduce the scintillation properties of the materials. So the preparation of Gd2O2S scintillation ceramics usually need pressure assistance, which increases the production cost. In this paper, the scintillation mechanism and the research situation of scintillators are introduced firstly. Then, the fabrication process of Gd2O2S scintillation ceramics, the solution of defects removal, the research status and their applications in neutron imaging and medical X-CT fields are overviews. Finally, The whole paper is summarized and the development of Gd2O2S scintillation ceramics is also prospected.