Cationic lipid-mediated gene transfer is widely used for their advantages over viral gene transfer because it is non-immunogenic, easy to produce and not oncogenic. The main drawback of the application of cationic lipids is their low transfection efficiency. Many reports about transfection efficiency of cationic lipids have been published in recent years. In this review, the current status and prospects for transfection efficiency of different morphologies of lipoplexes are discussed. High transfection activity will be acquired for H(II)(C) structure when membrane fusion is dominant, but when serum is present L(alpha)(C), lipoplexes show great superiority for their inhibition dissociation by serum during lipoplexes transporting. Increasing ...