The attention that high solids anaerobic digestion process (HS-AD) has received over the years, as a waste management and energy recovery process when compared to low solids anaerobic digestion process, can be attributed to its associated benefits including water conservation and smaller digester foot print. However, high solid content of the feedstock involved in the digestion process poses a barrier to the process stability and performance if it is not well managed. In this review, various limitations to effective performance of the HS-AD process, as well as, the possible measures highlighted in various research studies were garnered to serve as a guide for effective industrial application of this technology. A proposed design concept for overcoming substrate and product inhibition thereby improving methane yield and process stability was recommended for optimum performance of the HS-AD process.