In saline and salinity-affected soils, the global productivity and sustainability of cotton are severely affected by soil salinity. High salt concentrations hinder plant growth and yield formation mainly through the occurrence of osmotic stress, specific ion toxicity, and nutritional imbalance in cotton. A number of agronomic practices have been identified as potential solutions to alleviate the adverse effects induced by salinity. While genetic breeding holds promise in enhancing the salinity tolerance of cotton, agronomic practices that improve the root zone environment, ameliorate soil conditions, and enhance salinity tolerance are currently considered to be more practical. This compressive review highlights the effectiveness of agronomic practices, such as furrow seeding, plastic mulching, their combination, densely planting, and the appropriate application of fertilizer and plant growth regulators, in mitigating the negative impact of salinity on cotton. By implementing these agronomic practices, cotton growers can improve the overall performance and resilience of cotton crops in saline and salinity-affected soils. This review provides valuable insights into practical agronomic measures that can be adopted to counteract the adverse consequences of soil salinity on cotton cultivation.