Phthalic acid esters (PAEs) are a class of common environmental endocrine disruptors (EEDs), capable of causing considerable pollution to water, soil, and air and producing a range of adverse health impacts in humans. Although various studies have investigated the pollution characteristics and health hazards of PAEs in different media, a systematic review of PAEs in the broader environmental context is still lacking. In order to comprehensively explore current issues and suggest prospects, the current status, detection technology, toxicity, and health hazards of PAEs were investigated. The results suggest that PAE pollution is a widespread and complex global phenomenon, transported over long distances. The traditional techniques used for determination include high-performance liquid chromatography–mass spectrometry (HPLC-MS), gas chromatography–mass spectrometry (GC-MS), and high-performance liquid chromatography (HPLC). Various detection techniques offer distinct advantages and disadvantages. Moreover, PAEs can cause differing extents of harm to the nervous and reproductive systems of mammals. In the future, it is imperative to improve the detection of PAEs, establish rapid identification approaches, refine toxicological research methods, and investigate more comprehensive health risk assessment methods. These efforts will provide scientific support for the prevention and management of the resulting contaminants.