In modern agriculture, ensuring soil health and effective fertility management are paramount for sustainable crop production and environmental stewardship. This review article comprehensively explores a spectrum of strategies aimed at enhancing soil health and fertility management within the context of sustainable agriculture. Beginning with an overview of the pivotal role soil health plays in agricultural systems, the review meticulously examines the significance of adopting sound soil fertility management practices to sustain soil productivity while mitigating adverse environmental impacts. Traditional and innovative approaches to soil management are thoroughly discussed, encompassing a range of practices such as organic amendments, cover cropping, crop rotation, reduced tillage, and integrated nutrient management. These practices, deeply rooted in agricultural traditions, are shown to enhance soil structure, foster nutrient cycling, and promote beneficial soil microbial communities, thereby contributing to long-term soil health and productivity. Furthermore, the review elucidates emerging technologies and methodologies that hold promise for revolutionizing soil health and fertility management in sustainable farming systems. Precision agriculture techniques leveraging GPS, remote sensing, and data analytics are highlighted for their potential to optimize resource use and improve crop management practices. Biochar application, a burgeoning area of research, is explored for its ability to enhance soil fertility, sequester carbon, and improve soil water retention. Additionally, manipulation of the soil microbiome through innovative techniques presents exciting opportunities for enhancing soil health and resilience, the review underscores the importance of continued research, education, and policy support in promoting sustainable soil management practices. Recommendations for future research directions are provided, emphasizing the need for interdisciplinary collaborations, long-term field studies, and farmer participatory research. Practical implications for farmers and policymakers are also delineated, emphasizing the imperative of adopting holistic approaches to soil management that integrate traditional wisdom with cutting-edge technologies. By embracing sustainable soil management practices, farmers and policymakers can safeguard soil health, enhance agricultural productivity, and ensure the long-term sustainability of our food systems and environment.