The research on photocatalytic membrane reactors (PMRs) started around the year 2000 with the study of wastewater treatment by degradation reactions of recalcitrant organic pollutants, and since then the evolution of our scientific knowledge has increased significantly, broadening interest in reactions such as the synthesis of organic chemicals. In this paper, we focus on some initial problems and how they have been solved/reduced over time to improve the performance of processes in PMRs. Some know-how gained during these last two decades of research concerns decreasing/avoiding the degradation of the polymeric membranes, improving photocatalyst reuse, decreasing membrane fouling, enhancing visible light photocatalysts, and improving selectivity towards the reaction product(s) in synthesis reactions (partial oxidation and reduction). All these aspects are discussed in detail in this review. This technology seems quite mature in the case of water and wastewater treatment using submerged photocatalytic membrane reactors (SPMRs), while for applications concerning synthesis reactions, additional knowledge is required.