Efficient Inference for Large Vision-Language Models: Bottlenecks, Techniques, and Prospects

Large Vision-Language Models (LVLMs) enable sophisticated reasoning over images and videos, yet their inference is hindered by a systemic efficiency barrier known as visual token dominance. This overhead is driven by a multi-regime interplay between high-resolution feature extraction, quadratic attention scaling, and memory bandwidth constraints. We present a systematic taxonomy of efficiency techniques structured around the inference lifecycle, consisting of encoding, prefilling, and decoding. Unlike prior reviews focused on isolated optimizations, we analyze the end-to-end pipeline to reveal how upstream decisions dictate downstream bottlenecks, covering compute-bound visual encoding, the intensive prefilling of massive contexts, and the ''visual memory wall'' in bandwidth-bound decoding. By decoupling the efficiency landscape into the axes of shaping information density, managing long-context attention, and overcoming memory limits, this work provides a structured analysis of how isolated optimizations compose to navigate the trade-off between visual fidelity and system efficiency. The survey concludes by outlining four future frontiers supported by pilot empirical insights, including hybrid compression based on functional unit sensitivity, modality-aware decoding with relaxed verification, progressive state management for streaming continuity, and stage-disaggregated serving through hardware-algorithm co-design. The submitted software contains a snapshot of our literature repository, which is designed to be maintained as a living resource for the community.

HybridKV: Hybrid KV Cache Compression for Efficient Multimodal Large Language Model Inference

Multimodal Large Language Models (MLLMs) have advanced unified reasoning over text, images, and videos, but their inference is hindered by the rapid growth of key-value (KV) caches. Each visual input expands into thousands of tokens, causing caches to scale linearly with context length and remain resident in GPU memory throughout decoding, which leads to prohibitive memory overhead and latency even on high-end GPUs. A common solution is to compress caches under a fixed allocated budget at different granularities: token-level uniformly discards less important tokens, layer-level varies retention across layers, and head-level redistributes budgets across heads. Yet these approaches stop at allocation and overlook the heterogeneous behaviors of attention heads that require distinct compression strategies. We propose HybridKV, a hybrid KV cache compression framework that integrates complementary strategies in three stages: heads are first classified into static or dynamic types using text-centric attention; then a top-down budget allocation scheme hierarchically assigns KV budgets; finally, static heads are compressed by text-prior pruning and dynamic heads by chunk-wise retrieval. Experiments on 11 multimodal benchmarks with Qwen2.5-VL-7B show that HybridKV reduces KV cache memory by up to $7.9\times$ and achieves $1.52\times$ faster decoding, with almost no performance drop or even higher relative to the full-cache MLLM.

Beyond Superficial Unlearning: Sharpness-Aware Robust Erasure of Hallucinations in Multimodal LLMs

Multimodal LLMs are powerful but prone to object hallucinations, which describe non-existent entities and harm reliability. While recent unlearning methods attempt to mitigate this, we identify a critical flaw: structural fragility. We empirically demonstrate that standard erasure achieves only superficial suppression, trapping the model in sharp minima where hallucinations catastrophically resurge after lightweight relearning. To ensure geometric stability, we propose SARE, which casts unlearning as a targeted min-max optimization problem and uses a Targeted-SAM mechanism to explicitly flatten the loss landscape around hallucinated concepts. By suppressing hallucinations under simulated worst-case parameter perturbations, our framework ensures robust removal stable against weight shifts. Extensive experiments demonstrate that SARE significantly outperforms baselines in erasure efficacy while preserving general generation quality. Crucially, it maintains persistent hallucination suppression against relearning and parameter updates, validating the effectiveness of geometric stabilization.