In order to meet the goal of doubling wheat yield by 2050, breeders must work to improve breeding program efficiency while also implementing new and improved technologies in order to increase genetic gain. Genomic selection (GS) is an expansion of marker assisted selection which uses a statistical model to estimate all marker effects for an individual simultaneously to determine a genome estimated breeding value (GEBV). Breeders are thus able to select for performance based on GEBVs in the absence of phenotypic data. In wheat, genomic selection has been successfully implemented for a number of key traits including grain yield, grain quality and quantitative disease resistance, such as that for Fusarium head blight. For this review, we focused on the ways to modify genomic selection to maximize prediction accuracy, including prediction model selection, marker density, trait heritability, linkage disequilibrium, the relationship between training and validation sets, population structure, and training set optimization methods. Altogether, the effects of these different factors on the accuracy of predictions should be thoroughly considered for the successful implementation of GS strategies in wheat breeding programs.