Microvasculature-on-a-chip, utilizing microfluidic technology, has emerged as a significant in vitro tool for simulating both the normal and disease states of blood vessel networks. In our review, we highlight the efficacy of microfluidic platforms in accurately reproducing the microenvironment of human blood vessels. We outline a range of methodologies employed to fabricate vascular networks in vitro, focusing on the use of endothelial cells within microfluidic structures. For each method, we provide an assessment of recent examples, critically evaluating their strengths and drawbacks. Furthermore, we delve into the outlook and the innovative advancements anticipated for next-generation vascular-on-a-chip models and the broader field of chip-based tissue engineering.