Due to their antibacterial and antifungal properties, parabens are commonly used as biocides and preservatives in food, cosmetics, and pharmaceuticals. Parabens have been reported to exist in various water matrices at low concentrations, which renders the need for sample preparation before their quantification using analytical techniques. Thus, sample preparation methods such as solid-phase extraction (SPE), rotating-disk sorptive extraction (RDSE), and vortex-assisted dispersive liquid–liquid extraction (VA-DLLE) that are commonly used for parabens extraction and preconcentration have been discussed. As a result of sample preparation methods, analytical techniques now detect parabens at trace levels ranging from µg/L to ng/L. These compounds have been detected in water, air, soil, and human tissues. While the full impact of parabens on human health and ecosystems is still being debated in the scientific community, it is widely recognized that parabens can act as endocrine disruptors. Furthermore, some studies have suggested that parabens may have carcinogenic effects. The presence of parabens in the environment is primarily due to wastewater discharges, which result in widespread contamination and their concentrations increased during the COVID-19 pandemic waves. Neglecting the presence of parabens in water exposes humans to these compounds through contaminated food and drinking water. Although there are reviews that focus on the occurrence, fate, and behavior of parabens in the environment, they frequently overlook critical aspects such as removal methods, policy development, and regulatory frameworks. Addressing this gap, the effective treatment of parabens in water relies on combined approaches that address both cost and operational challenges. Membrane filtration methods, such as nanofiltration (NF) and reverse osmosis (RO), demonstrate high efficacy but are hindered by maintenance and energy costs due to extensive fouling. Innovations in anti-fouling and energy efficiency, coupled with pre-treatment methods like adsorption, help mitigate these costs and enhance scalability. Furthermore, combining adsorption with advanced oxidation processes (AOPs) or biological treatments significantly improves economic and energy efficiency. Integrating systems like O₃/UV with activated carbon, along with byproduct recovery strategies, further advances circular economy goals by minimizing waste and resource use. This review provides a thorough overview of paraben monitoring in wastewater, current treatment techniques, and the regulatory policies that govern their presence. Furthermore, it provides perspectives that are critical for future scientific investigations and shaping policies aimed at mitigating the risks of parabens in drinking water.