Abstract: The mineral composition of carbonate-hosted lead-zinc deposits is simple. But the mineral processing is difficult because its minerals latex like texture and metasomatic texture, changeable and overlapping floatability of lead-zinc sulfide minerals, together with interference of pyrite on galena and sphalerite separation. According to related literature, the mineral processing of carbonate-hosted lead-zinc deposits were reviewed from milling flowsheet, mineral processing flowsheet, flotation reagent, beneficiation equipment and so on. The internal relationship and regularity between deposit characteristics and mineral processing are primarily summarized, which can provide guidance and reference for the determination of mineral processing. It is of great significance to enhance the comprehensive utilization of carbonate-hosted lead-zinc deposits, promote the transformation of resource advantage into industrial advantage, that meet the increasing demand of lead and zinc resources for economic development.