Membrane application in surface water treatment provides many advantages over conventional treatment. However, this effort is hampered by the fouling issue, which restricts its widespread application due to increases in hydraulic resistances, operational and maintenance costs, deterioration of productivity and frequency of membrane regeneration problems. This paper discusses natural organic matter (NOM) and its components as the major membrane foulants that occur during the water filtration process, possible fouling mechanisms relating to reversible and irreversible of NOM fouling, current techniques used to characterize fouling mechanisms and methods to control fouling. Feed properties, membrane characteristics, operational conditions and solution chemistry were also found to strongly influence the nature and extent of NOM fouling. Findings of such studies are highlighted. The understanding of the combined roles of controlling factors and the methods used is very important in order to choose and optimize the best technique and conditions during surface water treatment. The future potential of membrane application for NOM removal is also discussed.