Out of sight, into the spotlight: Beyond the current state of science on per- and poly-fluoroalkyl substances in groundwater.

Per- and poly-fluoroalkyl substances (PFAS) have emerged as a silent menace, infiltrating groundwater systems worldwide. Many countries, preoccupied with tackling legacy pollutants, have inadvertently neglected the emerging threat of PFAS. This review provides an exhaustive analysis beyond the current state of knowledge and sustainable pathways vis-a-vis addressing PFAS in groundwater systems globally. Despite the positive progression in PFAS research, significant knowledge gaps and paucity of data persist globally. Sampling trains, smart contaminant detectors, filters, and sensors offer promising pathways for the complete extraction and detection of novel and transformed PFAS species. Major hotspots are firefighting locations, landfills, and superfund sites. While studies have documented the global occurrence of PFAS in groundwater, with concentrations increasing over time and varying across regions, the factors influencing these trends, transport, fate, toxicity, and interactions with co-contaminants, remain largely unexplored. Advanced models accounting for environmental complexities and interactions are crucial for understanding PFAS migration in groundwater, however, their development is hindered by a scarcity of studies on the complexities and PFAS interactions. Emerging technologies, including nanotechnology, enzyme, genetic engineering, flexible treatment train, and machine learning algorithms present exciting opportunities for PFAS treatment, however, their cost-effectiveness, scalability, and long-term stability must be thoroughly investigated. Sustainable management requires addressing nomenclature inconsistencies and developing region-specific mitigative measures. These serve as a clarion call for the scientific community, policymakers, and stakeholders to unite in confronting the formidable challenges posed by PFAS contamination, as the fate of our groundwater resources and the well-being of countless lives hang in the balance.