This article reviews the many innovative strategies that have been developed to specifically design the support layers of forward osmosis (FO) membranes. Forward osmosis (FO) is one of the most viable separation technologies to treat hypersaline wastewater, but its successful deployment requires the development of new membrane materials beyond existing desalination membranes. Specifically, designing the FO membrane support layers requires new engineering techniques to minimize the internal concentration polarization (ICP) effects encountered in cases of FO. In this paper, we have reviewed several such techniques developed by different research groups and summarized the membrane transport properties corresponding to each approach. An important transport parameter that helps to compare the various approaches is the so-called structural parameter ($S$-value); a low $S$-value typically corresponds to low ICP. Strategies such as electrospinning, solvent casting, and hollow fiber spinning, have been developed by prior researchers—all of them aimed at lowering this $S$-value. We also reviewed the quantitative methods described in the literature, to evaluate the separation properties of FO membranes. Lastly, we have highlighted some key research gaps, and provided suggestions for potential strategies that researchers could adopt to enable easy comparison of FO membranes.