Ultra-high-molecular-weight polyethylene (UHMWPE) is often considered an ideal reinforcing material due to its extraordinary characteristics like high abrasion resistance, excellent toughness, and chemical stability. However, the poor surface properties have significantly hindered the progress of UHMWPE with high performance. This review is intended to introduce the physicochemical mechanisms of UHMWPE interfacial property modification. Therefore, this review provides a concise overview of the progress in diverse surface modification techniques for UHMWPE and their strengths and limitations as polymer reinforcement materials. Lastly, an overview of the potential and challenges of each surface modification has been summarized.