Realizing sensitive and efficient detection of biomolecules and drug molecules is of great significance. Among the detection methods that have been proposed, electrochemical sensing is favored for its outstanding advantages such as simple operation, low cost, fast response and high sensitivity. The unique structure and properties of surfactants have led to a wide range of applications in the field of electrochemical sensors and biosensors for biomolecules and drug molecules. Through the comparative analysis of reported works, this paper summarizes the application modes of surfactants in electrochemical sensors and biosensors for biomolecules and drug molecules, explores the possible electrocatalytic mechanism of their action, and looks forward to the development trend of their applications. This review is expected to provide some new ideas for subsequent related research work.