Drug delivery research extensively studies methods to transport proteins, deoxyribonucleic acid (DNA), genes, antibodies, and vaccines efficiently and safely to human bodies in recent years. This review comprehensively covers the developments in microneedle-based drug delivery, their configurations, design, fabrication, and operation. The factors surrounding the mechanical strength of microneedle-based transdermal patches (MNTP’s) have also been reviewed. MNTP’s can eliminate limitations of conventional drug delivery systems. Microneedle-based transdermal delivery approach will offer a self-management, patient-friendly, and efficient administration route for drug delivery.