Microplastics are widely present worldwide and are of great concern to scientists and governments due to their toxicity and ability to serve as carriers of other environmental pollutants. The abundance of microplastics in different water bodies varied significantly, mainly attributed to the initial emission concentration of pollutants and the migration ability of pollutants. The migration process of microplastics determines the abundance, fate, and bioavailability of microplastics in water. Previous studies have proved that the physicochemical properties of water bodies and the properties of microplastics themselves are important factors affecting their migration, but the change in external environmental conditions is also one of the main factors controlling the migration of microplastics. In this paper, we focus on the effects of meteorological factors (rainfall, light, and wind) on the distribution and migration of microplastics and conclude that the influence of meteorological factors on microplastics mainly affects the inflow abundance of microplastics, the physical and chemical properties of water, and the dynamics of water. At the same time, we briefly summarized the effects of aquatic organisms, water substrates, and water topography on microplastics. It is believed that aquatic organisms can affect the physical and chemical properties of microplastics through the physical adsorption and in vivo transmission of aquatic plants, through the feeding behavior, swimming, and metabolism of animals, and through the extracellular polymers formed by microorganisms, and can change their original environmental processes in water bodies. A full understanding of the influence and mechanism of external environmental factors on the migration of microplastics is of great theoretical significance for understanding the migration law of microplastics in water and comprehensively assessing the pollution load and safety risk of microplastics in water.