This review focuses on investigations of groundwater flow and solute transport in karst aquifers through laboratory scale models (LSMs). In particular, LSMs have been used to generate new data under different hydraulic and contaminant transport conditions, testing of new approaches for site characterization, and providing new insights into flow and transport processes through complex karst aquifers. Due to the increasing need for LSMs to investigate a wide range of issues, associated with flow and solute migration karst aquifers this review attempts to classify, and introduce a framework for constructing a karst aquifer physical model that is more representative of field conditions. The LSMs are categorized into four groups: sand box, rock block, pipe/fracture network, and pipe‐matrix coupling. These groups are compared and their advantages and disadvantages highlighted. The capabilities of such models have been extensively improved by new developments in experimental methods and measurement devices. Newer technologies such as 3D printing, computed tomography scanning, X‐rays, nuclear magnetic resonance, novel geophysical techniques, and use of nanomaterials allow for greater flexibilities in conducting experiments. In order for LSMs to be representative of karst aquifers, a few requirements are introduced: (1) the ability to simulate heterogeneous distributions of karst hydraulic parameters, (2) establish Darcian and non‐Darcian flow regimes and exchange between the matrix and conduits, (3) placement of adequate sampling points and intervals, and (4) achieving some degree of geometric, kinematic, and dynamic similitude to represent field conditions.