Grafting of vegetable seedlings is a unique horticultural technology practiced for many years in East Asia to overcome issues associated with intensive cultivation using limited arable land. This technology was introduced to Europe and other countries in the late 20th century along with improved grafting methods suitable for commercial production of grafted vegetable seedlings. Tomato grafting is becoming a well-developed practice worldwide with many horticultural advantages. The primary motivation for grafting tomato has been to prevent the damage caused by soilborne pathogens under intensive production system. However, recent reports suggest that grafting onto suitable rootstocks can also alleviate the adverse effects of abiotic stresses such as salinity, water, temperature, and heavy metals besides enhancing the efficiency of water and nutrient use of tomato plants. This review gives an overview of the scientific literatures on the various aspects of tomato grafting including important steps of grafting, grafting methods, scion–rootstock interaction, and rootstock-derived changes in vegetative growth, fruit yield, and quality in grafted plants under different growing conditions. This review also highlights the economic significance of grafted tomato cultivation and offers discussion on the future thrust and technical issues that need to be addressed for the effective adoption of grafting.