<p indent="0mm">Mitochondria, as the main site of cellular aerobic respiration, are organelles that provide energy for cells. The mitochondrial genomes are independent of the nuclear genome, known as mitochondrial DNA (mtDNA). mtDNA encodes 37 genes, including 13 respiratory chain-related polypeptides, 22 tRNAs and 2 rRNA genes. Mitochondrial abnormalities can directly reduce cellular ATP synthesis and thus generate insufficient cellular energy. The regulation of mtDNA copy number and epigenetics is crucial for the basic functions of mitochondria. After entering the cells of organisms, environmental pollutants elevate reactive oxygen species (ROS), causing oxidative stress in the organism and resulting in abnormal metabolism and various diseases. Compared with nuclear DNA, mtDNA is more susceptible to oxidative stress because of its proximity to the site of oxidative phosphorylation (OXPHOS) and lack of histone protection and sufficient DNA damage repair capacity. Exposure to various environmental pollutants can induce excessive accumulation of ROS, which leads to changes in mtDNA copy number and epigenetic modifications of mtDNA. An increasing number of studies focus on abnormal mtDNA as a possible biomarker for the exposure and toxicity of environmental pollutants. In this article, we briefly introduce the physiological functions and regulatory mechanisms of mitochondria and mtDNA copy number. Environment pollutant exposures often cause mitochondrial damage, which may alter mtDNA copy number, leading to mitochondrial abnormalities and impairing cell function. Studies have found that mitochondrial dysfunction is related to the occurrence and development of various diseases (e.g., cancer, diabetes, cardiovascular disease, neurodegenerative diseases, etc.). Noteworthily, decreased mtDNA copy number in germ cells blocks embryonic development. Next, along with the associated proteins found in recent studies, possible epigenetic modifications present on mtDNA (e.g., 5-methylcytosine, 5-hydroxymethylcytosine and N6-methyladenine) are also summarized. A study identified mtDNMT1 in the mitochondrial matrix, which was suggested to be a methyltransferase for mtDNA 5mC. Since 5hmC modification on mtDNA was first reported in 2011, the results of studies on mtDNA 5hmC have been conflicting. However, some research groups found that Tet1 and Tet2 may be involved in the formation of mtDNA 5hmC. A higher level of 6mA modification than nuclear DNA was suggested to be detected in mtDNA, and the METTL4 protein is a potential mtDNA 6mA methyltransferase. Nonetheless, the study on mtDNA methylation is of intensive interest. We reviewed the effects of multiple common environmental pollutants (e.g., PM, black carbon, nicotine, heavy metal particles, etc.) on mitochondrial DNA from two aspects: (1) Environmental pollutants exposure causes mtDNA copy number changes, which may increase disease risk; (2) environmental pollutant exposure alters methylation levels of certain genes in mtDNA. In the first aspect, exposure to different pollutants, or even the same pollutant, resulted in different changes in mtDNA copy number. It suggests that the same environmental pollutants may also affect mtDNA copy number through different mechanisms and pathways. In the second aspect, changes in the methylation levels of D-loop and gene regions on mtDNA caused by pollutant exposure can affect mitochondrial physiological function by affecting mitochondrial DNA replication and mitochondrial-encoded protein expression. We prospect and discuss how to perform further study on the effect of environmental pollutants on mtDNA and its molecular mechanism. The following two aspects should be improved in future pollutants-mtDNA studies: (1) Develop more convenient methods for the extraction of mtDNA from less than million cells to a high purity. This will facilitate the detection and sequencing of mtDNA for diverse purposes; (2) to achieve accurate identification of mtDNA methylation sites in small number of cells and eliminate the interference of mtDNA heterogeneity, the mtDNA methylation sequencing method should be further innovated.