A membrane bioreactor (MBR) combines membrane separation and biological treatment, normally involving the activated sludge process, in municipal wastewater treatment. Despite excellent performance over years of full-scale operation, the interactions between microbes and the membrane in the MBR process, which determine its design and operational criteria, remain unclear. This report reviewed research regarding how numerous process parameters impact biofouling rates and, in particular, the possible contribution of microbial products to biofouling. This study also characterized different fractions of microbial products and assessed their potential affect on membrane fouling.