This study investigated a pressing environmental concern: the presence, distribution, sources, and ecological implications of sixteen polycyclic aromatic hydrocarbons (PAHs) in the left-bank canals of Kotri barrage-Akram, Pinyari, and Phuleli of the Indus River in Pakistan. These vital waterways, crucial for industrial, domestic, and agricultural activities, are experiencing contamination threats from anthropogenic sources, particularly PAHs. The study collected three water and two sediment samples from each canal in pre-monsoon and post-monsoon seasons. Then the EPA's liquid-liquid extraction method and gas chromatography determined the concentrations of PAHs. The findings of this study reveal alarming contamination levels, with pre-monsoon concentrations ranging from 22.256 to 836.455ng/L in water and 1,459.941 to 43,179.243ng/g in sediments. The post-monsoon concentrations ranged from 60.352 to 5663.058ng/L in water and 2976.770 to 15,238.335ng/g in sediments. The diagnostic ratios and principal component analysis (PCA) identified multiple sources of contamination, including industrial and domestic wastewater discharge, solid waste burning, vehicular emissions, biomass combustion, and petroleum residues. Furthermore, the assessment of the toxic equivalency factor (TEF) underscored the heightened carcinogenic potential of certain PAHs, notably benzo(a)pyrene and benzo(a)anthracene. Thus, the high levels of PAH contamination pose severe health risks to both human populations and aquatic ecosystems, emphasizing the urgency of addressing this issue. Stricter regulations governing industrial and domestic waste discharge, advocacy for cleaner fuel technologies, and the implementation of effective waste management practices must be initiated as crucial strategies in safeguarding the environmental integrity of the left-bank canals and the health of the surrounding communities.