Aminoglycosides (AGs) are natural or semisynthetic antibiotics that are inherently toxic, and their use is limited by the widespread presence of AG-resistant bacteria. However, AGs are still valued members of the antibiotic arsenal, particularly against Gram-negative bacteria. The efficiency and clinical value of this class of antibiotics have motivated the exploration of strategies to overcome or evade both the antimicrobial resistance and toxicity. The incorporation of a fluorine atom into AGs has attracted attention as a potential strategy to solve these problematics. This review provides an overview of the research on fluorinates aminoglycosides, their synthesis and, when available, their antimicrobial activity, relative toxicity toward mice or human cells and physicochemical properties.