Zirconium alloys are widely used in nuclear reactors as structural materials. During the operation, they are exposed to fast neutrons. Ion irradiation is used to simulate the damage introduced by neutron irradiation. In this article, we briefly review the neutron irradiation damage of zirconium alloys, then summarize the effect of ion irradiation on microstructural evolution, mechanical and corrosion properties, and their relationships. The microstructure components consist of dislocation loops, second phase precipitates, and gas bubbles. The microstructure parameters are also included such as domain size and microstrain determined by X-ray diffraction and the S-parameter determined by positron annihilation. Understanding the relationships of microstructure and properties is necessary for developing new advanced materials with higher irradiation tolerance