This Focus Review describes state-of-the-art methods for the preparation of antimicrobials ilicones. Given the diversity of antimicrobiala ctivity and their mechanisms, the performance of these materials is highly dependento nt he characteristics of the polymeric matrix. Therefore, different synthetic routes have been developed, such as 1) physical treatments,2 )chemical transformations, and 3) copolymerization. This classification is not exclusive,s os ome products belong to more than one class. Herein, we attemptt op resent ah andy overview of the development of antimicrobial silicones, their most important application fields, the most relevant antimicrobiala ssays,a nd, as the title suggests, an overview of the most relevant preparation methods.