AbstractReactive distillation (RD) is a process intensification technique that offers major advantages over conventional technologies by enabling the integration of reaction and separation into a single apparatus. This integration introduces and exploits complex interaction between mass transfer, chemical reaction and hydrodynamics within an RD column; however, these complexities can hinder the adoption of RD by industry. Many approaches have been developed by the scientific community to advance understanding and to expedite the initialization of RD design at the conceptual level. This paper critically discusses recent developments in conceptual methods for synthesizing RD processes. This review paper is the first to consider the range of available approaches for assessing the technical feasibility, controllability, economic viability, and sustainability of RD units by taking into account various configurations in which RD is treated as a new unit operation, and as part of process synthesis in a different way of designing processes based on functions. The review also addresses complex configurations, such as advanced RD technologies. Special attention is paid to process modeling and simulation as well as to education. Knowledge gaps to be filled by further research are indicated. © 2024 The Authors. Journal of Chemical Technology and Biotechnology published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry (SCI).