This paper was to review articles dealing with caregiving burden and rewards for the grandparents who raised their grandchildren. The major difficulties that they suffered from caregiving their grandchildren were deterioration in health condition, lack of finance, low social support, changes in family relationship, psychological problems, and so on, whereas the rewards that they have experienced were physical, emotional, economical, and social rewards. A number of social welfare services and policy tasks for them, including many grants and educational programs, were discussed in the context of empowering them.