This paper reviews the manufacturing process of ultra-thin heat pipes and the latest process technologies in detail, focusing on the progress of the shape, structure, and heat transfer mechanism of the wick. The effects of the filling rate and tilt angle on the heat transfer performance of the ultra-thin heat pipe, as well as the material selection of ultra-thin heat pipes, is sorted out, and the surface modification technology is analyzed. Besides, the optimal design based on heat pipes is discussed. Spiral woven mesh wick and multi-size composite wick have significant advantages in the field of ultra-thin heat pipe heat transfer, and comprehensive surface modification technology has huge potential. Finally, an outlook on future scientific research in the field of ultra-thin heat pipes is proposed.