To comprehensively investigate the application of membrane separation technology in the treatment of landfill leachate in China, the performance of nearly 200 waste management enterprises of different sizes in China were analyzed, with an emphasis on their scale, regional features, processes, and economic characteristics. It was found that membrane separation technologies, mainly nanofiltration (NF), reverse osmosis (RO), and NF + RO, have been used in China since 2004. The treatment capacity of the two most dominant membrane separation technologies, i.e., NF and RO, were both almost 60,000 m/d in 2018, and both technologies are widely used in landfills and incineration plants. Their distribution is mainly concentrated in eastern and southwestern China, where the amount of municipal solid waste (MSW) is relatively high and the economy is developing rapidly. Membrane separation technology is the preferred technique for the advanced treatment of leachate because more contaminants can be effectively removed by the technology than by other advanced processes. However, the membrane retentate that is produced using this technology-commonly known as leachate concentrate-is heavily contaminated due to the enrichment of almost all the inorganic anions, heavy metals, and organic matter that remain after bioprocessing. An economic cost analysis revealed that the operating cost of membrane separation technology has stabilized and is between 1.77 USD/m and 4.90 USD/m; electricity consumption is the most expensive cost component. This review describes the current problems with the use of membrane separation technology and recommends strategies and solutions for its future use.