A sustainable energy system is the backbone of reducing carbon emissions, and utilizing supercritical carbon dioxide’s superior thermophysical properties for heat transfer in microchannels is a promising approach. Although research on supercritical carbon dioxide (SCO₂) heat transfer in microchannels is growing, comprehensive reviews are still limited. Existing studies mainly focus on individual experiments or simulations, with inconsistent findings and no unified theory or optimization strategy. To address these gaps, a systematic summary of SCO2 heat transfer in microchannels is provided, with a focus on key performance factors, degradation mechanisms, and optimization strategies. Accordingly, a comprehensive summary and analysis of SCO2 heat transfer in microchannels is presented. Recent literature on SCO2 heat transfer was systematically reviewed, encompassing experimental studies, degradation phenomena, influencing factors, and evaluations of existing research methods. Optimization strategies for heat transfer efficiency are outlined, and key challenges in SCO2 heat transfer in microchannels are identified, including complex mechanisms, inconsistent findings, and the absence of a standardized evaluation framework. Directions for future research include refining models of heat transfer mechanisms, exploring strategies to mitigate heat transfer degradation, and improving the molecular dynamics simulation and balancing it with high-precision experiment. This study not only provides a comprehensive understanding of the current SCO2 heat transfer field for the academic community but also provides constructive suggestions and guidance for the further development of the technology.