Voxel-based morphometry (VBM) is a neuroimaging technique that investigates focal differences in brain anatomy. The core process of VBM is segmenting the brain into grey matter, white matter, and cerebrospinal fluid, warping the segmented images to a template space and smoothing. Thereafter, statistical analysis is performed on the basis of the general linear model. Although the basis of VBM is constant, the algorithm has been changed. Classical VBM simply employed anatomical normalization, segmentation, and smoothing. This changed to optimized VBM, which normalized the brain using parameters derived from grey matter image normalization, cleaned up non-brain tissue images, and utilized Jacobian modulation. Further, unified segmentation-a probabilistic framework that enables image registration, tissue classification, and bias correction to be combined within the same generative model-was introduced. The DARTEL algorithm then improved the accuracy of image registration. Currently, researchers can use an extension of unified segmentation with some features such as an improved registration model, extended set of tissue probability maps, or more robust initial affine registration. Those who utilize VBM must pay attention to the choice of VBM algorithm, as data interpretation differs with each algorithm.