Electron cyclotron resonance ion source (ECRIS) development has progressed with multiple-frequency plasma heating, higher mirror magnetic fields, and better technique to provide extra cold electrons. Such techniques greatly enhance the production of highly charged ions from ECRISs. So far at continuous wave (CW) mode operation, up to 300 eμA of O7+ and 1.15 emA of O6+, more than 100 eμA of intermediate heavy ions for charge states up to Ar13+, Ca13+, Fe13+, Co14+, and Kr18+, and tens of eμA of heavy ions with charge states to Kr26+, Xe28+, Au35+, Bi34+, and U34+ were produced from ECRISs. At an intensity of at least 1 eμA, the maximum charge state available for the heavy ions are Xe36+, Au46+, Bi47+, and U48+. An order of magnitude enhancement for fully stripped argon ions (I⩾60 enA) were also achieved. This article will review the ECR ion source progress and discuss key requirement for ECRISs to produce the highly charged ion beams.