Nanofillers are one of the most important additives in the creation of natural fibre reinforced polymer composite (NFRPC), as they greatly improve the properties of the material even at low doses. Such Nanofillers enhance the bonding of fibers and matrix that result in an increase of the mechanical and functional properties of composite. Clays, nanomaterials of carbon, metal and metal oxide nanoparticles, cellulose nanocrystals are some of the most prevalent Nano fillers. NFRPC, with the current advantages of low cost, renewability, biodegradability, and desirable specific properties, have taken off as an alternative to synthetic composites in biomedical applications. Although such composites present the advantage of desirable mechanical strength, thermal stability, and acoustic performance, the addition of Nanofillers enhances the performance further by increasing structure-property associations and processing. Also, Nano filler-enhanced composites have a promising biomedical future, especially when used in tissue engineering, wound healing, antimicrobial systems, and load bearing implants. The review is a compilation of recent developments of natural and synthetic nano filler applications in combination of natural fibers and is therefore a complete reference to any researcher or scientist who will be interested in designing high-performance composites by the synergistic combination of fibers, polymer matrices, and Nanofillers.