Wear and aging associated damage is a severe problem for safety and maintenance of engineering structures. To acquire structural operational state and provide warning about different types of damage, research on damage identification has gained increasing popularity in recent years. Among various damage identification methods, the Lamb wave-based methods have shown promising suitability and potential for damage identification of plate-type structures. In this paper, a comprehensive study was presented to elaborate four remarkable aspects regarding the Lamb wave-based damage identification method for plate-type structures, including wave velocity, signal denoising, image reconstruction, and sensor layout. Conclusions and path forward were summarized and classified serving as a starting point for research and application in this area.