Eating disorders (EDs) are highly complex illnesses, compromising both physical and mental health. Dietetic management of EDs has advanced over time, in line with research and clinical practice in the field. Progress in dietetic practice relates to the core domains of refeeding syndrome management, nutritional rehabilitation and nutritional psychoeducation. Advances in these domains are discussed in this narrative review. Future trends in health and disease that may shape further advances in the dietetic management of EDs are highlighted and their potential impact on nutritional interventions hypothesised. This review highlights the integral role of dietitians as part of an eating disorder multidisciplinary team. The skills and knowledge of the dietetic profession continues to advance and evolve in line with the expanding ED evidence base, supporting evidence-based dietetic practice and the ongoing development of nutritional strategies in this area.