Water is considered one of the vital natural resources and factors for performing short- and long-term agricultural practices on Earth. Meanwhile, globally, most of the available freshwater resources are utilized for irrigation purposes in agriculture. Currently, many world regions are facing extreme water shortage problems, which can worsen if not managed properly. In the literature, numerous methods and remedies are used to cope with the increasing global water crises. The use of precision irrigation water-saving systems (PISs) for efficient water management under climate change is one of them and is a highly recommended approach by researchers. It can mitigate the adverse effects of changing climate and help enhance water use efficiency, crop yield, and environmental footprints. Thus, the present study aimed to comprehensively examine and review PISs, focusing on their development, implementation, and positive impacts on sustainable water management. In addition, we searched the literature using different online search engines and reviewed and summarized the main results of the previously published papers on PISs. We discussed the traditional irrigation method and its modernization for enhancing water use efficiency, PIS monitoring and controlling, architecture, data sharing communication technologies, the role of artificial intelligence for irrigation water-saving, and the future prospects of the PIS. Based on the brief literature review, the present study concluded that the future of PISs seems bright, driven by the need for efficient irrigation water management systems, technological advancements, and increasing environmental awareness. As the water scarcity problem intensifies due to climate change and population growth, the PIS is poised to play a critical role in optimizing and modernizing water usage, increasing water use efficiency, and reducing environmental footprints, thus ensuring sustainable agriculture development.