Metasurfaces and structured light have rapidly advanced over the past few years, from being paradigms to forming functional devices and tailoring special light beams for wide emerging applications. Here, we focus on harnessing metasurfaces for structured light manipulation. We review recent advances in shaping structured light by metasurfaces on different platforms (metal, silica, silicon, and fiber). Structured light manipulation based on plasmonic metasurfaces, reflection-enhanced plasmonic metasurfaces, metasurfaces on fiber facets, dielectric metasurfaces, and sub-wavelength structures on silicon are presented, showing impressive performance. Future trends, challenges, perspectives, and opportunities are also discussed.