Hong Kong is located in a typical subtropical region. The buildings in Hong Kong are subjected to high cooling demands for their air-conditioning systems throughout most of the year, and their contribution toward the total energy consumption is about 40%. Therefore, energy efficiency in buildings is essential to reduce the global energy use and improve the local environmental sustainability. This paper provides an overall review of the building energy research and efforts in Hong Kong over the last decade. Various aspects and energy saving measures, including energy policy, energy audit, design, control, diagnosis, building performance evaluation and renewable energy systems, studied or used to enhance the energy efficiency in buildings are reviewed. A brief introduction of the Hong Kong Building Energy Codes (BEC) and Hong Kong Building Environmental Assessment Method (HK-BEAM) are also provided to present the efforts of the local government and community on energy efficiency in buildings. This review aims at providing building researchers and practitioners a better understanding of buildings energy saving opportunities and approaches in cities particularly in subtropical regions and taking further proper actions to promote buildings energy efficiency and conservation.