Hot isostatic pressing (HIP) technology can effectively reduce microstructure defects such as micropores, which are formed during solidification and hominization heat treatment, and thus further improve the high temperature performance of nickel-based SX superalloys. This paper reviews the application of HIP treatment in nickel-based SX superalloys, focusing on the dislocation-creep closure and diffusion-creep closure mechanisms and the kinetics of annihilation of micropores by HIP. The effects of different scheme on pore closure and high temperature mechanical properties are compared. The advantages and disadvantages of different schemes are summarized. In addition, the application of HIP treatment in additive manufacturing (AM) of nickel-based SX superalloys is also discussed.