(1] Background: Since the 1990s, theses and dissertations—a key part of scientific communication—have evolved significantly with advances in information and communication technologies. (2) Methods: This study reviews 99 publications examining these changes, drawing insights from international conferences and empirical studies in the field. (3) Results: Historically, a major challenge in managing PhD theses has been the shift to electronic formats, resulting in the creation of electronic theses and dissertations (ETDs). This shift involves four main tasks: adopting new digital formats, updating institutional workflows between departments, graduate schools, and academic libraries, implementing updated bibliographic standards (such as metadata and identifiers), and utilizing new tools and channels for distribution. With open science becoming a widespread research policy across many countries and institutions, ensuring open access for ETDs is an added challenge—though a substantial portion of ETD content remains restricted to institutional or library networks. Today, ETD management is on the brink of a new era, with advancements in data-driven science and artificial intelligence. (4) Conclusions: The development of ETDs varies significantly across different countries, regions, and institutions due to technological, organizational, and legal differences. It is essential for academic libraries and other stakeholders to address the challenges identified, while considering these variations.