Excessive levels of boron (B) in wastewater are problematic due to their toxicity to both plants and aquatic fauna. The removal of B is both economically burdensome and technically challenging, often requiring sophisticated methods such as adsorption and reverse osmosis. Constructed wetlands (CWs) offer a promising and costeffective alternative for B removal. This review paper compiles the recent research on B removal, detailing key findings and identifying areas for potential enhancement. It provides a comparative analysis of CWs with other B removal technologies, evaluates the environmental impact of CWs in terms of COQ-equivalent reduction, and examines the various pathways for B removal. Factors influencing the efficiency of B removal, such as CW type, plant selection, choice of media, hydraulic retention time (HRT), hydraulic loading rate (HLR), mass loading rate (MLR), pH, and inlet B concentrations, are thoroughly reviewed. Based on the compiled data, the recommended operating conditions to optimize B removal in CWs include an HRT of 10 to 14 days, a pH range between 6 and 10, inlet B concentrations below 20 mg/L, and a mass loading rate under 3000 mg/m2 per day.