In the face of the global warming crisis, building energy conservation and emissions reduction have gained increasing attention. In the sustainable development of buildings, foam concrete has become increasingly popular in the construction industry due to its excellent thermal insulation, sound insulation and fire resistance. Foam concrete employed in building and construction (used as either a structural or non-structural member) must meet certain serviceability criteria. This paper reviews the serviceability of ordinary Portland cement foam concrete, geopolymer foam concrete, sulfoaluminate cement foam concrete, magnesium phosphate cement foam concrete and limestone calcined clay cement foam concrete, to include drying shrinkage, creep, thermal conductivity, water absorption and acoustic properties. Subsequently, it is proposed to change the initial curing conditions to reduce drying shrinkage, add glass fibre and basalt fibre to improve creep performance, increase heat flow direction resistance and extend the thermal conduction path to reduce thermal conductivity, control slump flow to regulate water absorption and combine sound-absorbing foam concrete with sound-reflecting materials to achieve a comfortable and low-noise living environment. Finally, ideas and suggestions for future work are proposed.