Microplastics have been widely detected in the natural water environment, which brings inevitable risks to the water ecosystem and human health. However, the understanding of the potential impact of microplastics on aquatic animals, plants, and human health is still limited, and technical methods to control microplastic pollution in natural water are still rare. Hence, this paper summarizes the progress of research on microplastic pollution in water systems in terms of microplastic source, attributes, distribution characteristics, environmental effects, and prevention and control methods according to the relevant research reports on water microplastic pollution. It also expounds the basic ways for the prevention, control, and treatment of water microplastics, and looks forward to the research direction of water microplastic pollution in the future. The results show that the abundance of fresh water microplastics in China is higher than that in other regions, but the pollution level of marine microplastics is at the middle level. Compared with other countries, the pollution degree of microplastics in aquatic organisms in China is at the middle and lower level, but the spatial heterogeneity is more obvious. Through hydraulic control and the substitution of degradable plastic products, water microplastic pollution can be greatly reduced. This paper can provide a reference basis for the formulation of microplastic pollution prevention and control in China.