Bio-imaging generally indicates imaging techniques that acquire biological information from living forms. Recently, the ability to detect, diagnose, and monitor pathological, physiological, and molecular dynamics is in great demand, while scaling down the observing angle, achieving precise alignment, fast actuation, and a miniaturized platform become key elements in next-generation optical imaging systems. Optofluidics, nominally merging optic and microfluidic technologies, is a relatively new research field, and it has drawn great attention since the last decade. Given its abilities to manipulate both optic and fluidic functions/elements in the micro-/nanometer regime, optofluidics shows great potential in bio-imaging to elevate our cognition in the subcellular and/or molecular level. In this paper, we emphasize the development of optofluidics in bio-imaging, from individual components to representative applications in a more modularized, systematic sense. Further, we expound our expectations for the near future of the optofluidic imaging discipline.