In this perspective article, we emphasize the combination of Surface-Enhanced Raman Spectroscopy (SERS) and Microfluidic devices. SERS approaches have been widely studied and used for multiple applications including trace molecules detection, in situ analysis of biological samples and monitoring or, all of them with good results, however still with limitations of the technique, for example regarding with improved precision and reproducibility. These implications can be overcome by microfluidic approaches. The resulting coupling Microfluidics-SERS (MF-SERS) has recently gained increasing attention by creating thundering opportunities for the analytical field. For this purpose, we introduce some of the strategies developed to implement SERS within microfluidic reactor along with a brief overview of the most recent MF-SERS applications for biology, health and environmental concerns. Eventually, we will discuss future research opportunities of such systems.