Botanical insecticides have re-emerged as promising tools within Integrated Pest Management (IPM) due to their biodegradability, chemical diversity, and potential compatibility with resistance management strategies. Although frequently considered safer alternatives to synthetic pesticides, growing evidence indicates that these compounds may also affect non-target organisms, particularly bees. This review discusses the selectivity of botanical insecticides toward pollinators by integrating historical perspectives, mechanisms of action, ecotoxicological effects, and current limitations in risk assessment approaches. Botanical insecticides may induce both lethal and sublethal effects, including alterations in behavior, locomotion, feeding, development, reproduction, and physiology across different bee groups. We also demonstrate that most available studies remain concentrated on Apis mellifera, adult workers, and acute laboratory assays, while important pollinator groups and chronic exposure scenarios remain poorly explored. Furthermore, current regulatory protocols are still largely based on models developed for synthetic pesticides. Expanding ecotoxicological approaches is therefore essential to improve pollinator safety assessments and support more sustainable pest management strategies.