Enzyme based bioelectronics have attracted increasing interest in recent years because of their applications on biomedical research and healthcare. They also have broad applications in environmental monitoring, and as the power source for portable electronic devices. In this review, the technology developed for fabrication of enzyme electrodes has been described. Different enzyme immobilisation methods using layered structures with self-assembled monolayers (SAM) and entrapment of enzymes in polymer matrixes have been reviewed. The performances of enzymatic biofuel cells are summarised. Various approaches on further development to overcome the current challenges have been discussed. This innovative technology will have a major impact and benefit medical science and clinical research, healthcare management, energy production from renewable sources.