Conservation agriculture (CA) has emerged as a sustainable farming practice with potential benefits for durum wheat cultivation and to evaluate the performance of durum wheat under CA, focusing on quality attributes, yield potential, and sanitary consideration and synthesizing existing literature, we elucidate the impact of CA practices on durum wheat production, highlighting its implications for food security and environmental sustainability and underscore the multifaceted interactions between CA and durum wheat, emphasizing the need for tailored management strategies to optimize crop performance and to discuss challenges and future research directions to enhance the adoption of CA in durum wheat farming systems.