To decarbonize the energy system, proton exchange membrane fuel cells (PEMFCs) have been proven to be the most viable device. Electrocatalysts used in the membrane electrode assembly (MEA) are vital parts facilitating the electrochemical reactions determining the overall performance of PEMFCs. The exposure of triple phase boundaries (TPBs) where these electrochemical reactions occurred is mostly dependent on electrode structure. Along with the promising aspects of PEMFCs, some issues regarding electrode durability, lower catalyst utilization, circuitous mass transport pathways in conventional electrodes are also raising concern. Unfortunately, half of the cost of a single cell is covered by electrocatalysts, which triggers the importance of its maximum utilization. The deployment of an innovative design in the electrode structure can eliminate those issues. Researchers have been trying to achieve higher power density and durability by modifying the architecture of the electrode introducing the different fabrication techniques. In this review, we attempted to illustrate current efforts to upgrade electrode architecture, highlighting the advanced design from macro-scale to nanoscale of electrode modification. The current status of the most common types of modified electrode structures, such as, template-based pattern, porous agglomerates, 3D ordered pattern, macropattern, micropattern, thin film, electrospinning, pore augmentation of the electrodes are discussed in details in this review. A brief description is also included to guide future R&D regarding the electrodes of PEMFCs. In addition, the functional mechanism of the modified electrode, fabrication routes, and comparative performance are also covered in detail. At the end, a summary of current research work is discussed with the aim of guiding future research prospects to upgrade electrodes for next generation PEMFC applications.