Morphometric analysis is the quantification of shapes, which makes irregular shapes found in nature analyzable and comparable. Cave morphometry has been used for the genetic classification of caves, the digital reconstruction of their conduits, the decoding of their paleoenvironment, and other research purposes. Ratios and indices that have been derived from Euclidean geometry and application of fractal geometry onto karst features and topological parameters are the basic methodologies that have been used for shape quantification. This paper reviews the literature that focuses on methodologies used for morphometric analyses and the applications that these methodologies have found.