Integrating autonomous vehicles (AVs) into public roads presents profound implications for pedestrian safety and the broader acceptance of this emerging technology. This work examines the complex interactions between AVs and pedestrians, a dynamic influenced by the variability of pedestrian behaviors and the absence of traditional communication mechanisms, such as eye contact and gestures, commonly relied upon in human-driven scenarios. Given the nascent stage of AV deployment, this research addresses the challenges of evaluating AV−pedestrian interactions amid safety concerns and technological limitations. We review and synthesize global research on pedestrian behavior in the context of AV technology to track changes in pedestrians’ acceptance over time and identify the factors driving these shifts. Additionally, this review incorporates insights from transportation authorities to highlight potential safety issues and the need for innovative communication strategies that ensure safe interactions between pedestrians and AVs. By analyzing these factors, the research aims to contribute to the development of guidelines and communication protocols that enhance pedestrian safety and facilitate the integration of AVs into urban environments.