Colorectal cancer (CRC) is one of the common malignant tumors in the digestive tract, and its treatment and prognosis are affected by many factors. Macrophages are cells that participate in innate immunity. Macrophages are cells that participate in innate immunity, maintain the body and resist the invasion of foreign pathogens, and play a supporting role in different organs and tissues. In the tumor microenvironment (TME), macrophages are called tumor-associated macrophages (TAMs), and they play an important role in tumor cell proliferation, metastasis, angiogenesis, and immunosuppression. In this article, we reviewed the interaction between TAMs and tumor cells, discussed the origin and polarization of TAMs, and described the role of TAMs in tumorigenesis and development, invasion and metastasis, and immunosuppression. Finally, we briefly summarized tumor treatment options targeting TAMs to provide new ideas for subsequent tumor research and treatment.