Biofilm formation leads to significant industrial economic losses and serious health problems. Most of these health problems such as gastrointestinal, eye, ear, dental, etc. are permanent hospital infections associated with medical devices such as catheters, heart valves, and prosthetic joints. It is known today that it is not possible to eliminate biofilm with classical methods. Therefore, in order to protect surfaces against biofilm, there has been an increasing expectation of developing new alternative strategies by limiting the use of toxic antimicrobial agents. Chitosan is a natural biopolymer obtained plenty from resources in nature. It has some properties such as non-toxic to living organisms, biological degradability, biocompatibility and many forms high availability, a renewable resource and environmentally friendly, antibacterial, antifungal and antiviral activities. Chitosan will be presented as an approach, alternative to conventional anti-biofilm strategies, in order to prevent microbial biofilm formation in this review.