Pretreatment is the first and most determinative, yet the least mature step of lignocellulose biorefinery chain. The current stagnation of biorefinery commercialization indicates the barriers of the existing pretreatment technologies are needed to be unlocked. This review focused on one of the core factors, the high lignocellulose solids loading in pretreatment. The high solids loading of pretreatment significantly reduces water input, energy requirement, toxic compound discharge, solid/liquid separation costs, and carbon dioxide emissions, improves the titers of sugars and biproducts to meet the industrial requirements. Meanwhile, lignocellulose feedstock after high solids loading pretreatment is compatible with the existing logistics system for densification, packaging, storage, and transportation. Both the technical-economic analysis and the cellulosic ethanol conversion performance suggest that the solids loading in the pretreatment step need to be further elevated towards an industrial technology and the effective solutions should be proposed to the technical barriers in high solids loading pretreatment operations.