Groundwater plays a vital role in global water resources, supporting agricultural, industrial, and domestic water supply systems. However, the long-term sustainability of groundwater is increasingly threatened due to the widespread adoption of irrigation systems especially micro irrigation. Micro irrigation is a widespread agricultural technique that involves water application to crops through drip irrigation and sprinkler systems. This method has gained widespread adoption due to its ability to deliver water efficiently to crops. This review paper examines the impacts of micro irrigation on groundwater sustainability, focusing on its effects on groundwater quantity, quality, and overall sustainability. The findings reveal that micro irrigation can significantly contribute to groundwater conservation by reducing water losses. However, improper management practices, such as over-irrigation or incorrect application rates, can lead to excessive groundwater extraction, depletion of aquifers, and declining water tables. Applying fertilizers and pesticides in micro irrigation systems may lead to groundwater pollution, thereby affecting water quality and posing a risk to human health. This review article emphasizes the significance of appropriate design, installation, and upkeep of micro irrigation systems to minimize potential adverse effects on groundwater. Furthermore, regulatory frameworks, policies, and educational programs are crucial in promoting sustainable groundwater management practices in micro irrigation. The present review highlights the significance of adopting balanced water use practices, enhancing water management techniques, and implementing relevant regulations to ensure the sustainable utilization of groundwater resources in micro irrigation systems.