Pineapple is the most important economic plant in the family Bromeliaceae and the third-most economically important tropical fruit in the world. It has become an important tropical fruit in Guangdong, Hainan, and Guangxi, which are suitable areas for its cultivation. However, modern and well-organized breeding systems have not yet been established for pineapple. In this review, we describe the current status of the geographical distribution, industrial development, and breeding of pineapple in China. The current status of pineapple breeding is introduced, including traditional breeding methods, such as crossbreeding, mutagenesis breeding, and biotechnology breeding, combining cell engineering and gene engineering. In addition, the research progress on assisted breeding technology based on genetic map construction and molecular marker development is presented. New challenges and perspectives for obtaining high fruit quality are discussed in the context of breeding programs for pineapple.