The therapy of individuals with progressive heart failure has changed as a result of "Mechanical Circulatory Support (MCS)". MCS offers patients who are not transplant candidates long-term care, a temporary bridge to heart transplantation, and treatment for patients with acute heart failure. The goal of this review article is to give a thorough summary of MCS as it is right now. It covers the history, evolution, and types of devices available for support, as well as the indications for MCS and patient selection criteria. The article also discusses the implantation and management of devices, including potential complications, and summarizes the outcomes of MCS, including survival rates and quality of life. The review concludes by highlighting the future of MCS and its potential impact on patient care. Overall, this review article offers medical professionals a useful tool for treating patients with severe heart failure. It is crucial for healthcare professionals to comprehend the indications and alternatives offered for mechanical circulatory support (MCS) given the rising number of individuals in need of it. By providing a comprehensive overview of the current state of MCS, this article aims to improve patient care and outcomes for those with advanced heart failure.