The review summarized the types, the geometry, and the design principle of pretreatment reactors at high solid loading of lignocellulose material. Among the reactors used, the explosion reactors and the helical stirring reactors are to be considered as the practical form for high solids loading pretreatment operation; the comminution reactors and the extruder reactors are difficult to be used as an independent unit, but possible to be used in the combined form with other types of reactors. The principles of the pretreatment reactor design at high solid loading were discussed and several basic principles for the design were proposed. This review provided useful information for choosing the reactor types and designing the geometry of pretreatment operation at the high solids loading.