Molecularly imprinted polymers are synthetic polymers possessing specific cavities designed for target molecules. They are prepared by copolymerization of a cross-linking agent with the complex formed from a template and monomers that have functional groups specifically interacting with the template through covalent or noncovalent bonds. Subsequent removal of the imprint template leaves specific cavities whose shape, size, and functional groups are complementary to the template molecule. Because of their predetermined selectivity, molecularly imprinted polymers (MIPs) can be used as ideal materials in wastewater treatment. Especially, MIP-based composites offer a wide range of potentialities in wastewater treatment. This paper reviews the latest applications of MIPs in wastewater treatment, highlights the development of MIP-based composites in wastewater, and offers suggestions for future success in the field of MIPs.