Quartz-enhanced photoacoustic spectroscopy (QEPAS) is an improvement of the conventional microphone-based photoacoustic spectroscopy. In the QEPAS technique, a commercially available millimeter-sized piezoelectric element quartz tuning fork (QTF) is used as an acoustic wave transducer. With the merits of high sensitivity and selectivity, low cost, compactness, and a large dynamic range, QEPAS sensors have been applied widely in gas detection. In this review, recent developments in state-of-the-art QEPAS-based trace gas sensing technique over the past five years are summarized and discussed. The prospect of QEPAS-based gas sensing is also presented.