Surface-enhanced Raman spectroscopy(SERS) is a spectral detection method that has been widely used in the fields of disease diagnosis, drug screening, and biological analysis, etc. It can not only provide rich chemical fingerprint information but also has the advantages of high sensitivity, resistance to photobleaching, and photodegradation. However, due to the poor uniformity of its enhancement matrix structure and the uncertainty of the number of chemical molecules adsorbed, the reproducibility of SERS detection results is poor, which makes it face many challenges in quantitative analysis. The deployment of internal standards could eliminate the external interference factors, thus achieving accurate quantitative analysis. We set out this review with a description of the mechanism of internal-standard methods, followed by introducing their main types. Thereafter, we introduced explanations of the applications of internal-standard probes in environmental analysis, food and drug analysis, and biological analysis. We conclude with an outlook of challenges and future development directions of internal-standard SERS.