Lignocellulosic biomass, including agricultural, forestry, and energy crop waste, is one of Earth’s most abundant renewable resources, accounting for approximately 50% of global renewable resources. It contains cellulose, hemicellulose, and lignin, making it crucial for biofuels and bio-based chemicals. Due to its complex structure, single-pretreatment methods are inefficient, leading to the development of combined pretreatment technologies. These methods enhance cellulose accessibility and conversion efficiency. This paper analyzes the principles, advantages, and disadvantages of various combined pretreatment methods and their practical benefits. It highlights recent research achievements and applications in biofuel, biochemical production, and feed. By integrating multiple pretreatment methods, biomass degradation efficiency can be significantly improved, energy consumption reduced, and chemical reagent use minimized. Future advancements in combined physical, chemical, and biological pretreatment technologies will further enhance biomass utilization efficiency, reduce energy consumption, and protect the environment, providing robust support for sustainable renewable energy development and ecological protection.