Poor access to drinking water, sanitation, and hygiene has always been a major concern and a main challenge facing humanity even in the current century. A third of the global population lacks access to microbiologically safe drinking water, especially in rural and poor areas that lack proper treatment facilities. Solar water disinfection (SODIS) is widely proven by the World Health Organization as an accepted method for inactivating waterborne pathogens. A significant number of studies have recently been conducted regarding its effectiveness and how to overcome its limitations, by using water pretreatment steps either by physical, chemical, and biological factors or the integration of photocatalysis in SODIS processes. This review covers the role of solar disinfection in water treatment applications, going through different water treatment approaches including physical, chemical, and biological, and discusses the inactivation mechanisms of water pathogens including bacteria, viruses, and even protozoa and fungi. The review also addresses the latest advances in different pre-treatment modifications to enhance the treatment performance of the SODIS process in addition to the main limitations and challenges.