Blades are critical components in wind turbines (WTs) for power generation, and condition monitoring (CM) of WT blades is a crucial and challenging issue under operating conditions. Several methods have been developed to assess blade health status, and some of them have the potential to achieve in-situ CM. Nevertheless, there is a lack of critical and comprehensive survey concerning CM techniques for operational WT blades, as well as unsolved problems and research prospects. In this paper, typical causes and types of blade damage that deserve to be considered during the running time are presented. Besides, in-situ CM techniques for WT blades are reviewed in terms of four sub-targets: damage detection, localization, classification, and evaluation. Further, the investigation and development timeline of in-situ CM methods and types of damage that have been verified to be recognizable in field tests are concluded for the first time. The paper ends with discussions on research impediments and prospects that indicate promising development tendencies.