Air quality is a prevalent concern due to its imposing health risks. The state of Utah, USA, at times over the last 20 years has suffered from some of the worst air quality in the nation. The propensity for the state of Utah to experience elevated concentrations of particulate matter and ozone can in part be attributed to its unique geography that features dry, mountainous topography. Valleys in Utah create ideal environments for extended cold-pool events. In this review, we summarize the research executed in Utah over the past 20 years (2002–2022) by dividing the state into six regions: Utah Valley, Summit County, Southern Utah (regions south of Utah Valley), Cache Valley, Uinta Basin, and Salt Lake Valley. We review the published literature chronologically and provide a summary of each region identifying areas where additional research is warranted. We found that the research effort is weighted towards Uinta Basin and Salt Lake Valley, with the other regions in Utah only adding up to 20% of the research effort. We identified a need for more source apportionment studies, speciated volatile organic compound (VOC) studies, and ozone isopleths. Where ozone isopleths are not able to be created, measurement of glyoxal and formaldehyde concentrations could serve as surrogates for more expensive studies to inform ozone mitigation policies.