Abstract: The restoration of submerged macrophytes is the key to remediate eutrophic water and maintain the health of aquatic ecosystem, while light is the main limiting factor. This paper summarized the factors affecting the light extinction in water and the mechanisms of light intensity affecting the physiology of submerged macrophytes, with the focuses on the metabolic mechanisms of carbon, nitrogen, and phosphorus, the responses of antioxidant enzyme system, and the feedbacks of pigment composition and concentration in the common submerged macrophytes under low light stress. Several engineering techniques applied in the ecological restoration of submerged macrophytes were presented, and the framework of the restoration of submerged macrophytes in eutrophic water was proposed. Some problems in current research and several suggestions on future research were addressed, which could help the related research and engineering practices.