As wireless systems evolve toward 6G and beyond, antenna apertures are increasingly expected to become more programmable, multifunctional, and responsive to diverse communication, sensing, and imaging requirements. Dynamic metasurface antennas (DMAs) offer a promising hardware pathway toward this vision by integrating electronically addressable metamaterial elements within microwave and millimeter-wave (mmWave) radiating apertures. Unlike conventional phased arrays relying on dedicated phase-shifting networks, DMAs manipulate guided waves in microwave structures through electronically controlled resonant elements. In this way, DMAs offer phase-shifter-less beam-steering, multibeam radiation, and programmable wavefront control. This article explores state-of-the-art DMA technology from a microwave-engineering perspective, spanning guided-wave excitation, reconfigurable resonant meta-elements, microwave tuning technologies, RF-digital integration, and FPGA-controlled beamforming. Closely related electronically steered metasurface antenna architectures are also discussed within a unified microwave-hardware framework.