Carbon fibers (CFs) have a unique combination of properties which allow them to be widely used as reinforcing materials in advanced polymer composites. The mechanical properties of CF-reinforced polymer composites are governed mainly by the quality of interfacial adhesion between the CFs and the polymer matrix. Surface treatments of CFs are generally carried out to introduce chemical functional groups on the fiber surfaces, which provide the ability to control the surface characteristics of CFs. In this study, we review recent experimental studies concerning various surface treatment methods for CFs. In addition, direct examples of the preparation and properties of CF-reinforced thermosetting composites are discussed.