Photodynamic therapy (PDT) is the process of applying a light source onto a photosensitive chemical in order to produce reactive oxygen species. This process has gained prevalence within the oncology space as a potential treatment strategy, as PDT allows for accumulation of the photosensitive chemical at the site of the malignancy; therefore, when the reactive oxygen species are formed, they can to be cytotoxic towards the malignant cells. This treatment is especially appealing as an oncologic therapy since physicians are able to localize the light source in the area of the cancer cells. Without the light source, the photosensitizer will not enter its excited state to form reactive oxygen species, thus reducing the incidence of systemic adverse effects. This review article highlights the in vitro and in vivo results of second-generation non-porphyrin agents such as the squaraine, xanthene, cyanine, anthraquinone, phenothiazine, borondipyrromethene (BODIPY) and aza-BODIPY dyes. Second-generation photosensitizers have demonstrated promise in PDT as a result of their ability to have enhanced localization at the site of action due to tissue stability, absence of dark toxicity, and have the ability to be rapidly cleared from the body, among other advantages; however, literature has demonstrated both benefits and obstacles within each of the second-generation non-porphyrin dye treatment families. This article will also discuss some of the emerging therapies within this treatment strategy referred to as the third-generation PDT agents, following in particular the advancements made on the second-generation photosensitizers, and how advanced delivery systems influence the efficacy of the aforementioned second-generation non-porphyrin PDT dyes.