Microorganisms such as bacteria and fungi play essential roles in many application fields, like biotechnique, medical technique and industrial domain. Microorganism counting techniques are crucial in microorganism analysis, helping biologists and related researchers quantitatively analyze the microorganisms and calculate their characteristics, such as biomass concentration and biological activity. However, traditional microorganism manual counting methods are time consuming and subjective, which cannot be applied in large-scale applications. In order to improve this situation, image analysis-based microorganism counting systems are developed since 1980s, which consists of digital image processing, image segmentation, image classification and so on. Moreover, image analysis-based microorganism counting methods are efficient comparing with traditional plate counting methods. In this article, we have studied the development of microorganism counting methods using digital image analysis. Firstly, the microorganisms are grouped as bacteria and other microorganisms. Then, the related articles are summarized based on image segmentation methods. Each part of articles are reviewed by time periods. Moreover, commonly used image processing methods for microorganism counting are summarized and analyzed to find technological common points. More than 142 papers are summarized in this article. In conclusion, this article can be referred to researchers to determine the development trend in microorganism counting field and further analyze the potential applications