Treatment or processing of starch with organic acids (citric, stearic, succinic, and malic acids) can be used to obtain starch properties like low retrogradation, desirable viscosity, shear resistance, and high resistant starch. Esterification, cross linking, and hydrolysis of starch may occur after modification with organic acids (citric, succinic acid, malic acid) whereas a complex between starch and stearic acid may be formed on use of stearic acid. The conditions of reactions namely duration, starch acid concentration ratio, and temperature may influence physicochemical and structural properties of starch. Citric acid, succinic acid, stearic acid, and malic acid are regarded as "GRAS" and thus the starch citrate, starch succinate, starch stearate, and starch maleate are widely used in manufacturing of starch films, blends, nanoparticles, fat replacer, viscosity enhancer, and many other products. This review paper discusses the reaction conditions of organic acid modification of starches along with their influence on physicochemical and structural characteristics.