Several studies have identified threats that originate in areas surrounding protected areas (PAs). While there have been various efforts to integrate PAs with their surroundings, considerable challenges remain. Here we summarize these efforts to date, discuss their effectiveness, and provide recommendations for future research. Based on a broad literature review of theoretical and applied approaches, we have outlined 68 models for balancing conservation and sustainable development in PAs. We comprehensively analyzed 23 of these models for integrating PAs with their surroundings. They were divided into two categories: area-oriented and process-oriented approaches. This review reveals the absolute necessity of combining these two approaches for future conservation and sustainable development of PAs.