Metal-organic frameworks (MOFs) have attracted much attention over the past two decades due to their highly promising applications not only in the fields of gas storage, separation, catalysis, drug delivery, and sensors, but also in relatively new fields such as electric, magnetic, and optical materials resulting from their extremely high surface areas, open channels and large pore cavities compared with traditional porous materials like carbon and inorganic zeolites. Particularly, MOFs involving pores within the mesoscopic scale possess unique textural properties, leading to a series of research in the design and applications of mesoporous MOFs. Unlike previous Reviews, apart from focusing on recent advances in the synthetic routes, unique characteristics and applications of mesoporous MOFs, this Review also mentions the derivatives, composites, and hierarchical MOF-based systems that contain mesoporosity, and technical boundaries and challenges brought by the drawbacks of mesoporosity. Moreover, this Review subsequently reveals promising perspectives of how recently discovered approaches to different morphologies of MOFs (not necessarily entirely mesoporous) and their corresponding performances can be extended to minimize the shortcomings of mesoporosity, thus providing a wider and brighter scope of future research into mesoporous MOFs, but not just limited to the finite progress in the target substances alone.