The microstructural evolutions of advanced 9-12%Cr ferrite/martensite heat-resistant steels used for power generation plants are reviewed in this article. Despite of the small differences in chemical compositions, the steels share the same microstructure of the as-tempered martensite. It is the thermal stability of the initial microstructure that matters the creep behavior of these heat-resistant steels. The microstructural evolutions involved in 9-12%Cr ferrite heat-resistant steels are elabo- rated, including (1) martensitic lath widening, (2) disappearance of prior austenite grain boundary, (3) emergence of subgrains, (4) coarsening of precipitates, and (5) formation of new precipitates, such as Laves-phase and Z-phase. The former three microstructural evolutions could be retarded by properly disposing the latter two. Namely improving the stability of precipitates and optimizing their size distribution can effectively exert the beneficial influence of precipitates on microstructures. In this sense, the microstructural stability of the tempered martensite is in fact the stability of precipitates during the creep. Many attempts have been carried out to improve the microstructural stability of 9-12%Cr steels and several promising heat-resistant steels have been developed.