Owing to their facile hydrothermal management and high carbon monoxide tolerance, high temperature proton exchange membrane fuel cells (HT-PEMFCs) exhibit promising potential for various applications. In particular, high temperature proton exchange membranes (HTPEMs), as the core components of HT-PEMFCs, determine the performance of HT-PEMFCs. This paper primarily focuses on methods for improving the solubility and proton conductivity of HTPEMs. To address the current challenges encountered by HT-PEMFCs, various methods, including main chain structure design, co-blending, grafting, cross-linking, composite doping, and modifications of membrane morphology, are summarized.