Ion chromatography (IC) serves as a pivotal technique in trace ion analysis, and the separation performance of IC is largely determined by the properties of stationary phases. In contrast to silica-based matrices, polymer-based stationary phases have garnered significant interest owing to their outstanding pH stability and mechanical robustness. However, unmodified polymer matrices usually lack necessary ion exchange functions and selectivity; therefore, precise functional modification is the key to improving their chromatographic separation performance. This paper provides a systematic overview of recent advances in the synthesis and functional modification of polymer-based anion exchange chromatography stationary phases over the past few years. Firstly, the types and characteristics of polymer matrices commonly used for functional modification are summarized; secondly, the origin and improvement of common synthesis methods such as microporous membrane emulsification, droplet microfluidics, suspension polymerization, emulsion polymerization, soap-free emulsion polymerization, precipitation polymerization, dispersion polymerization, and seed swelling are introduced according to the molding methods of polymer matrices; furthermore, the principles, characteristics, and development status of mainstream functionalization strategies, including chemical derivatization, surface grafting, latex agglomeration, and hyperbranching, are emphasized. Finally, the existing challenges and prospective development trends in this field are discussed and outlooked, with the purpose of offering insights for the targeted design and practical application of high-performance polymer-based anion exchange chromatography stationary phases.