Alfalfa (Medicago sativa L.) is an important legume forage crop. However, its genetic improvement for salt tolerance is challenging, as alfalfa’s response to salt stress is genetically and physiologically complex. A review was made to update the knowledge of morphological, physiological, biochemical, and genetic responses of alfalfa plants to salt stress, and to discuss the potential of applying modern plant technologies to enhance alfalfa salt-resistant breeding, including genomic selection, RNA-Seq analysis, and cutting-edge Synchrotron beamlines. It is clear that alfalfa salt tolerance can be better characterized, genes conditioning salt tolerance be identified, and new marker-based tools be developed to accelerate alfalfa breeding for salt tolerance.