Starch extraction from tubers and roots has long been an essential process, playing a crucial role in diverse industries ranging from alimentary to pharmacology. This review explores the different methods employed in starch extraction, including traditional techniques and the most innovative mechanical strategies. The methods show a good improvement in many aspects, such as an improvement in the efficiency of the process and an improvement in the yield, showing a value of 10.0–65.0% depending on the starch source. On the other hand, solvents such as NaOH are used in many mechanical processes for alkaline digestion to improve the extraction time. Ethanol and K2S2O5 concentrations of 0.5% and 0.8% were used to prevent oxidation and modify some properties of the extracted starch. The use of many solvents has improved the optimization of the processes, providing the final extracted starch with more advantages and better quality. However, using enzymes such as cellulase in new and innovative ways has provided more advantages and a better efficiency and yield than the other methods. Each method has its advantages and challenges, highlighting the importance of understanding the diversity of different approaches and their impact on the yield, sustainability, environmental considerations, and quality of the extracted starch. As the world looks for more ecological approaches, this review shows the importance of critically evaluating the yield, efficiency, and environmental implications of the extraction methods, providing us with more ways of evaluating the methods used for starch extraction. The ecological impact is a crucial point when evaluating the innovation of a new extraction process, which is why methods such as ultrasound and pulsed electric-field-assisted techniques have been proposed. These methods have been presented as sustainable techniques called green technologies, offering more approaches and different advantages than the other methods. This review intends to investigate the complexities and considerations of starch extraction, providing a solid basis for decision-making regarding starch extraction. In a time where sustainability and product quality are crucial elements of industrial strategy formulation, an in-depth understanding of these methods becomes imperative to the development of responsible practices and efficiency in starch extraction.