Lipids, once thought to be mainly for energy-storage and structural purpose, have now gained immense recognition as a class of critical metabolites with versatile functions. The diversity and complexity of the cellular lipids are the main challenge for the comprehensive analysis of a lipidome. Lipidomics, which aims at mapping all of the lipids in a cell, is expanded rapidly in recent years, mainly attributed to recent advances in mass spectrometry (MS). MS-based lipidomic approaches developed recently allow the quick profiling of hundreds of lipids in a crude lipid extract. With the aid of latest computational tools/software (chemometrics), aberrant lipid metabolites or important signaling lipid(s) could be easily identified using unbiased lipid profiling approaches. Further tandem MS (MS/MS)-based lipidomic approaches, known as targeted approaches and able to convey structural information, hold the promise for high-throughput lipidome analysis. In this review, I discussed the basic strategy for systems level analysis of lipidome in biomedical study.