Objectives : The purpose of this review is to overview and evaluate the current state of the usage of acupotomy. Methods : Eight electronic databases(Science direct, Pubmed, five Korean databases, CKNI) were searched for relevant articles and data from January 1999 to May 2014. Results : Thirty-nine articles were included. Acupotomy were used in musculoskeletal diseases(n=34) and other diseases(n=5). Among musculoskeletal diseases, lumbar spine(n=12) neck(n=5) and shoulder(n=3) diseases were mostly often used. Most studies(n=21) had small sample size(under 10 people) and combined with other therapies(acupuncture, herbal medicine, physical therapy, etc.). Conclusion : Acupotomy appears to be effective and useful for musculoskeletal diseases and some other diseases. But there were a few clinical studies for acupotomy and had many limitations to judge its effectiveness. Further modified studies are required.