<p>Noise pollution constitutes a significant but frequently neglected issue within the global sugar sector, particularly in low- and middle-income countries where enforcement of regulatory standards is generally weak. Despite the sector’s essential contribution to agricultural output and employment, prolonged exposure to elevated noise levels from field machinery and factory equipment poses substantial occupational and environmental health risks. This study was done to investigate the various origins of noise pollution throughout the sugar production chain, assess its physiological and psychological impacts on workers and local populations, evaluate current regulatory frameworks, and explore mitigation approaches. It was observed that noise sources include mechanized harvesting operations and outdated industrial machinery, with sound levels frequently surpassing internationally recognized safety thresholds. Exposure to such conditions is linked to hearing impairment, heightened stress, decreased work performance, and increased risk of accidents. Although standards exist to regulate occupational noise exposure, enforcement remains inconsistent, particularly where technological upgrades and protective measures are financially unfeasible. The study shows that effective noise management requires a multidimensional strategy integrating machinery modernization, policy enforcement, protective equipment use, and worker sensitization. This review emphasizes the critical need for sustainable noise control practices within the sugar industry to protect human health, promote occupational safety, and support environmentally responsible industrial development.</p>