Decidualization is a process of differentiation of the endometrial stromal cells (ESC) accompanied by dramatic changes of cell functions and is necessary for embryo implantation and pregnancy establishment. A number of genes are upregulated or downregulated during decidualization. The present review focused on the involvement of epigenetics (histone modifications, DNA methylation, and microRNAs) in the regulation of gene expression in human ESC during decidualization. Histone modification statuses genome-widely change during decidualization. The main histone modifications are increases of H3K27ac and H3K4me3, which activate transcription, whereas decreases of these histone modifications are quite few. The increases of H3K27ac and H3K4me3 are observed not only in the proximal region but also in the distal promoter regions, suggesting distal enhancer-proximal promoter interactions are involved in the upregulation of gene expression during decidualization. One of the potential roles of the increases in H3K27ac and H3K4me3 during decidualization is to activate the insulin signaling pathway, which contributes to decidualization through the increase of glucose uptake. On the other hand, genome-wide DNA methylation does not remarkably change in human ESC during decidualization. These findings indicate that epigenetic regulation, especially through histone modifications, plays important roles in the decidualization of human ESC.