Male involvement in Antenatal Care (ANC) has been shown to increase the effects of prevention of mother to child transmission (PMTCT) of HIV programs and adherence to Antiretroviral (ARV) drugs. Increasing male involvement remains a challenge with few interventions demonstrating credible and sustained effects. Research has mainly been focussed on the benefits of involving men rather than how to involve them in ANC. In addition, little research exists on the acceptability of involving men in ANC. This literature review focusses on the benefits and risks associated with male involvement in ANC as well as the perceptions of both men and women in regard to involving men in ANC in sub-Saharan Africa and assesses methods used to increase male involvement.