Helical baffles are employed increasingly in shell-and-tube heat exchangers (helixchangers) for their significant advantages in reducing pressure drop, vibration, and fouling while maintaining a higher heat transfer performance. In order to make good use of helical baffles, serial improvements have been made by many researchers. In this paper, a general review is provided of developments and improvements on helixchangers, which includes the discontinuous helical baffles, continuous or combined helical baffles, and the combined multiple shell-pass helixchangers. Extensive results from experiments and numerical simulations indicate that these helixchangers have better flow and heat transfer performance than the conventional segmental baffled heat exchangers. Based on these new improvements, the conventional heat exchangers with segmental baffles might be replaced by helixchangers in industrial applications to save energy, reduce cost, and prolong the service life and operation time.