Fiber-based electronic devices (FEDs) exhibit high flexibility, low weight, and excellent integrability into wearable, implantable, and robotic systems. Recent advances have enabled applications in sensing, energy harvesting, and storage, and active functions. Despite this progress, challenges such as mechanical fatigue, interfacial delamination, and signal instability remain. This review offers key challenges and perspectives on the future of FEDs as interactive, autonomous platforms for next-generation electronics in healthcare, robotics, and beyond.