Malodorous gases—particularly hydrogen sulfide (H₂S), ammonia (NH₃), and volatile sulfur compounds (VSCs)—significantly degrade water quality, threaten public health, and disrupt ecosystems. Their production stems from microbial activity, nutrient overload, and industrial discharges, often magnified by low dissolved oxygen. This review integrates current insights into the microbial sulfur and nitrogen cycles to elucidate how these gases form, and surveys advances in detection technologies such as gas chromatography and laser-based sensors. We also assess diverse mitigation methods—including biotechnological approaches (e.g., biofilters, biopercolators), physicochemical treatments, and chemical conversion (Claus Process)—within relevant regulatory contexts in Colombia and worldwide. A case study of the Bogotá River exemplifies how unmanaged effluents and eutrophication perpetuate odor issues, underscoring the need for integrated strategies that reduce pollution at its source, restore ecological balance, and employ targeted interventions. Overall, this review highlights innovative, policy-driven solutions and collaborative efforts as pivotal for safeguarding aquatic environments and surrounding communities from the impacts of odorous emissions.