In recent years, electrochemical descaling technology has gained widespread attention due to its environmental friendliness and ease of operation. However, its single-pass removal efficiency could be higher, severely limiting its practical application. To overcome the limitations of traditional electrochemical descaling processes, this paper first focuses on the separation efficiency of H+ and OH− in the scale removal process based on numerous recent research papers. It mainly emphasizes how innovative cathode design can enhance the efficiency and stability of electrochemical descaling. Furthermore, this paper explores the coupling of electrochemical processes with different water treatment technologies, such as the combination of electrodeposition with electrocoagulation, filtration crystallization, microfiltration, and electrodialysis, and how these methods synergistically enhance descaling effects. Additionally, this paper discusses potential future directions for electrochemical descaling technology, including innovations in scale expansion, material updates, process optimization, system integration, and automation. Finally, this paper analyzes the practical challenges of electrochemical descaling technology, such as cost, energy consumption, equipment durability, and environmental impact, and proposes solutions. The implementation of these strategies is expected to promote the commercialization of electrochemical descaling technology, making it more aligned with the sustainability requirements of industry and the environment.