This study presents recent literature that sheds light on the SWRO membrane biofouling, Inventory of causes, consequences, measurement, and possible solutions. In particular, biofouling of SWRO is considered as one of the challenges faced by seawater desalination today. For seawater desalination, mitigating membrane biofouling is essentially required and yet to be overcome. Specific shortcomings and prospective solutions are reviewed towards understanding the biofouling mechanism, pretreatment impacts, level of assimilable nutrients, and real-time monitoring. Accordingly, this review aims to address recent advances in biological fouling measurements and control to better understand biofouling and the best ways of dealing with such a challenging issue.