Water is essential for life on Earth, playing fundamental roles in climate regulation, ecosystem maintenance, and domestic, agricultural, and industrial processes. A total of 70% of the planet is covered by water. However, only 2.5% is fresh water, and much of it is inaccessible. Groundwater is the main source of the planet’s available water resources. For that reason, groundwater is a critically important resource, and is increasingly vulnerable due to the climate crisis and contamination. These challenges threaten the availability of clean and safe water, necessitating an understanding of effective and sustainable management. This review presents an overview of the concepts of aquifers and groundwater. Also, it reflects on the importance of these resources in developing countries such as Colombia (South America). In addition, it considers the characteristics of mineral waters, their uses, and associated risks, as well as their exploration and control policies. Colombia is a country with immense water and biological wealth and is crucial to maintaining the climate and availability of global water resources. Nevertheless, managing Colombia’s aquifers is a challenge, as many have not yet been fully explored. In order to achieve this, it is necessary to study hydrogeochemistry through the application of advanced technologies to analyze the dynamics, distribution, and quality of groundwater, as well as its vulnerability to pollution and climate change. On the other hand, the consumption of mineral groundwater can have health benefits, such as positive cardiovascular and gastrointestinal effects. But geogenic, biogenic, or anthropogenic elements such as heavy metals and microplastics can pose a risk to human health. The need for proper management of water resources to prevent risks to human health and the environment is emphasized. Therefore, an integrated approach to water resource management will ensure conservation and sustainable use, secure a continuous supply of freshwater, and facilitate adaptation to climate change.