This study conducts a comprehensive comparative analysis of various strategies and technologies employed for the removal of fluorides from groundwater, addressing the increasing concern over elevated fluoride levels in water sources. High fluoride concentrations pose significant health risks, including dental and skeletal fluorosis, necessitating effective and sustainable removal methods. The research evaluates the efficiency, cost-effectiveness, and environmental impact of different fluoride removal techniques, providing valuable insights for water treatment practitioners, policymakers, and communities grappling with fluoride-contaminated groundwater. The study begins by outlining the prevalence of fluoride contamination in groundwater and the associated health risks, establishing the critical need for reliable removal methods. Subsequently, a review of existing literature presents an overview of conventional and emerging technologies utilized for fluoride removal. Conventional methods such as coagulation, precipitation, and adsorption are examined, considering their efficiency, operational ease, and cost implications. The study then delves into advanced technologies like membrane processes, ion exchange, and electrochemical methods, assessing their applicability and effectiveness in diverse groundwater contexts. Environmental sustainability is a key focus throughout the analysis, with a critical examination of the by-products and waste generated by each removal method. The ecological footprint, including energy consumption and material usage, is considered to provide a holistic understanding of the environmental impact associated with fluoride removal technologies. Furthermore, the economic feasibility of each method is evaluated, considering capital and operational costs. Comparative cost analyses offer insights into the affordability and scalability of different removal technologies, aiding decision-makers in selecting suitable methods based on financial constraints. The study concludes with a synthesized overview of the comparative analysis, emphasizing the strengths and limitations of each fluoride removal method. In summary, this comparative study contributes to the broader understanding of fluoride removal technologies, facilitating informed decision-making in addressing groundwater contamination. The findings are anticipated to inform researchers, water treatment professionals, and policymakers, guiding the selection of appropriate and context-specific fluoride removal methods to ensure safe and potable groundwater sources