<p>Perovskite/organic tandem solar cells (PO-TSCs) have emerged as a compelling photovoltaic architecture to transcend the Shockley-Queisser limit of single-junction devices. By monolithically stacking a wide-bandgap (WBG) perovskite top cell and a narrow-bandgap (NBG) organic bottom cell, PO-TSCs enable broad spectral utilization and reduced thermalization loss, offering a viable pathway toward efficiencies beyond 30%. Their solution processability, compatibility with orthogonal solvents, and potential for light-weight, flexible, and semi-transparent modules further make them attractive for building integrated and portable electronics. However, the realization of high-performance PO-TSCs critically depends on precise carrier regulation across the entire multilayer stack, where inefficient charge transport, recombination losses, and interfacial bottlenecks often limit the overall power conversion efficiency (PCE) and stability. This review systematically examines the carrier-regulation strategies essential for advancing PO-TSCs, focusing on defect and phase-control in WBG perovskites, the design of optically transparent and electrically efficient interconnecting layers, and the enhancement of charge generation and collection in organic subcells. The integration of these approaches has recently enabled efficiencies exceeding 26%, demonstrating the rapid progress of the field. Ultimately, we conclude with an outlook on the remaining challenges in scalability, operational stability, and manufacturability, providing a roadmap for future research toward commercially viable tandem photovoltaics.</p>