Transplanting is a critical step in vegetable production, and the application of automatic transplanters can significantly reduce labor intensity, improve production efficiency, and enhance the precision and consistency of operations. However, automatic transplanters are structurally complex, with diverse components, each design and function offering its own advantages and limitations. To assist industry professionals in quickly understanding and selecting transplanters suited to specific crops and environments, this paper reviews three key technologies in current vegetable transplanters: planting mechanisms, automated seedling picking and placing, and tray conveyance. Each technology is classified, compared, and analyzed to evaluate its applicability. Based on the current state of technology, the paper identifies major challenges in the development of vegetable transplanters in China, including insufficient integration of machinery and agronomy, high demands for equipment adaptability, lack of standardized systems, and delays in the development of core technologies for fully automated transplanting. Solutions are proposed for each of these issues. Finally, the paper discusses future directions for the development of automatic transplanters, including enhancing transplanting efficiency, achieving autonomous navigation, digitalizing operations, developing supporting systems for transplanting, and unmanned transplanting.