Natural organic matter (NOM) is a primary component of fouling in low-pressure membrane filtration, either solely, or in concert with colloidal particles. Various preventive measures to interfere with NOM fouling have been developed and extensively tested, such as coagulation, oxidation, ion exchange, carbon adsorption, and mineral oxide adsorption. Therefore, this article aims to conduct a literature review covering the topics of low-pressure membrane processes, NOM characteristics and fouling behaviors, and diverse fouling control strategies. In-depth explanations and discussion are made regarding why some treatment options are able to remove NOM from source water, but do not reduce fouling. This review provides insight for hybridized membrane processes with respect to NOM removal and fouling mitigation in water treatment.