Triboelectric nanogenerators (TENGs) developed from eco-friendly natural materials rather than traditional electronic materials are more favorable for biocompatible applications and for use in sustainable life-cycle analysis. Silk fibroin (SF) has emerged as an abundant natural biomaterial that shows great potential in the preparation of TENGs. Silk-based triboelectric nanogenerators (SF-TENGs) have green energy harvesting properties, are environmentally friendly, are biocompatible, are not fully present in conventional TENGs, and are important for the next generation of selfpowered electronic devices. In this review, the latest progress in SF-TENGs, including their applied materials, structural properties, manufacturing processes, and application scenarios, is discussed. These SF-TENGs show great potential for use in emerging energy and electronic applications as well as smart living and medical assistance. In addition, the potential value of SF-TENGs has been further explored, and the possibility and main challenges of expanding and applying SF-TENGs to the field of microneedles (MNs) are discussed.