Power consumption from electrical devices increases year upon year, and as a result thermal management of power electronics is becoming ever more relevant. This review summarises the advancements made in the piezoelectric fan optimisation since their invention in the late 1970s. Energy consumption is highly relevant, and is an underlying theme throughout. Emphasis is placed on the methods undertaken to optimise designs for many different applications, and critical analysis of these processes is included. Comparison of data taken from different studies highlights the well-established rules of piezoelectric fan design and, more importantly for future advancements, also identifies the aspects of design which are not fully understood. Numerical modelling has become an