According to ISO/TR 23383, smart textiles reversibly interact with their environment and respond or adapt to changes in the environment. The present review and bibliometric analysis was performed on 5810 documents (1989–2022) from the Scopus database, using VOSviewer and Bibliometrix/Biblioshiny for science mapping. The results show that the field of smart textiles is highly interdisciplinary and dynamic, with an average growth rate of 22% and exponential growth in the last 10 years. Beeby, S.P., and Torah, R.N. have published the highest number of papers, while Wang, Z.L. has the highest number of citations. The leading journals are Sensors, ACS Applied Materials and Interfaces, and Textile Research Journal, while Advanced Materials has the highest number of citations. China is the country with the most publications and the most extensive cooperative relationships with other countries. Research on smart textiles is largely concerned with new materials and technologies, particularly in relation to electronic textiles. Recent research focuses on energy generation (triboelectric nanogenerators, thermoelectrics, Joule heating), conductive materials (MXenes, liquid metal, silver nanoparticles), sensors (strain sensors, self-powered sensors, gait analysis), speciality products (artificial muscles, soft robotics, EMI shielding), and advanced properties of smart textiles (self-powered, self-cleaning, washable, sustainable smart textiles).