The gelation of waxy crude oil multiphase system can result in the formation of network cementitious structure, which seriously impacts the safe and economic production of crude oil. This paper reviews current experimental, theoretical and numerical results on the gelation of wax in crude oil. For the experimental side, the most important problems are in situ measurement and measurement accuracy. On the theoretical side, the present methods own defects of low accuracy and limited application scope. Numerically, the models are of oversimplification, which are hardly applied to the real production. Besides, as a promising solution, the research progress of crude oil pour point depressant is also reviewed. The molecular design is a powerful approach to develop the optimized pour point depressant. The goals of this paper are to bridge the microscale atomic interactions and the macroscale physicochemical properties of waxy crude oil and pour point depressant, so as to lay a solid theoretical basis for preventing and controlling wax deposition in crude oil. These are beneficial to the future efficient, clean and safe energy production system.