The role that Colombia will play in terms of food supply in the coming years has generated a discussion on the agricultural practices implemented, specifically in the use of pesticides. Therefore, this article aims to provide a comprehensive and complete review of the status of pesticide use in the agricultural sector, highlighting the agri-food industry in Colombia. Currently, the use of pesticides has intensified throughout the world, generating a call for attention by governmental entities in terms of regulation. Colombia for the year 2019 presented a rate of use of 7.8 kg/ha of pesticides, placing it among the twenty countries with the highest rate. On the other hand, the quantities and economic benefits of exports and imports are growing steadily. Several organizations have focused their efforts on determining the health consequences that people exposed to chronic and/or acute intoxication may suffer. This has led to cases of cytogenetic, neurocognitive and physical effects, prompting governmental organizations to regulate the use of pesticides. Finally, the need to design pesticide management and handling systems that respond to the needs of producers and the sector, integrating international food safety guidelines, is identified.