The perovskite/silicon tandem solar cell represents one of the most promising avenues for exceeding the Shockley-Queisser limit for single-junction solar cells at a reasonable cost. Remarkably, its efficiency has rapidly increased from 13.7% in 2015 to 34.6% in 2024. Despite the significant research efforts dedicated to this topic, the "secret" to achieving high-performance perovskite/silicon tandem solar cells seems to be confined to a few research groups. Additionally, the discrepancies in preparation and characterization between single-junction and tandem solar cells continue to impede the transition from efficient single-junction to efficient tandem solar cells. This review first revisits the key milestones in the development of monolithic perovskite/silicon tandem solar cells over the past decade. Then, a comprehensive analysis of the background, advancements, and challenges in perovskite/silicon tandem solar cells is provided, following the sequence of the tandem fabrication process. The progress and limitations of the prevalent stability measurements for tandem devices are also discussed. Finally, a roadmap for designing efficient, scalable, and stable perovskite/silicon tandem solar cells is outlined. This review takes the growth history into consideration while charting the future course of perovskite/silicon tandem research.