Objective To review the role of mTOR signal pathway in chemo-resistance of gastric cancer. Methods Domestic and international publications related mTOR signal pathway in chemo-resistance of gastric cancer in recent years were collected and reviewed. Results mTOR was a central signaling molecule of mTOR signal pathway, which regulated key cellular processes such as cell growth, cell proliferation, cell metabolism, and angiogenesis. Signaling molecules of mTOR signal pathway were overexpressed in gastric cancer. Moreover, mTOR signal pathway might play an important role in chemo-resistance of gastric cancer, and tumor stem cells were involved in it too. Conclusion As mTOR signal pathway plays an important role in chemo-resistance of gastric cancer, the combination of mTOR inhibitors and chemotherapy drugs may overcome the chemo-resistance of gastric cancer.