Human microbiomes can be used as therapeutic units, or machinery, that not only facilitate drug delivery and release to achieve high efficacy against human diseases but also aid in reducing drug toxicity to the host. To this end, the human microbiome's structure and functions are explored by multi-omics analyses. Next, the mechanisms of drug-microbiome-host interactions are being uncovered to provide insights into the identification of new drug targets and the discovery of new drugs. The human microbiome is also being manipulated by drug targeting using various elements, including prebiotics, probiotics, synthetic commensal microbes, antimicrobials, signaling inhibitors, metabolites and their receptors, metabolic enzymes, drug metabolites, and immune modulators. These efforts exemplify a microbiome-targeted strategy that holds much promise for improving human health and wellness. An overview on the drug targeting of the human microbiome is needed for providing new insights into the implementation of the microbiome-targeted strategy as therapies for human diseases.