In this review, we discuss currently available studies on the synthesis and properties of MQ copolymers. The data on methods of producing hydrolytic and heterofunctional polycondensation of functional organosilanes as well as the obtaining MQ copolymers based on silicic acids and nature silicates are considered. The ratio of M and Q monomers and the production method determine the structure of MQ copolymers and, accordingly, their physicochemical characteristics. It is shown that the most successful synthetic approach is a polycondensation of organoalkoxysilanes in the medium of anhydrous acetic acid, which reduces the differences in reactivity of M and Q monomers and leads to obtaining a product with uniform composition in all fractions, with full absence of residual alkoxy-groups. The current concept of MQ copolymers is that of organo-inorganic hybrid systems with nanosized crosslinked inorganic regions limited by triorganosilyl groups and containing residual hydroxyl groups. The systems can be considered as a peculiar molecular composites consisting of separate parts that play the role of a polymer matrix, a plasticizer, and a nanosized filler.