The particle size distribution of polymer always develops in emulsion polymerization systems, and certain key phenomena/mechanisms as well as properties of the final product are significantly affected by this distribution. This review mainly focuses on the measurement methods of particle size distribution rather than average particle size during the emulsion polymerization process, including the existing off-line, on-line, and in-line measurement methods. Moreover, the principle, resolution, performance, advantages, and drawbacks of various methods for evaluating particle size distribution are contrasted and illustrated. Besides, several possible development directions or solutions of the in-line measurement technology are explored