Background and Objectives: The pubic hair removal (PHR) practices are common around the world, for long the Internet has been the source of information, which is usually available from blogs, forums, and social media. A lot of misinformation, misguidance is resulted because of the lack of scientifically published literature providing proper information on the PHR practices. We undertook a systematic review of existing population- based studies to understand the prevalence, attitude, and practices of PHR in published literature. Methods: We searched for population-based studies across the globe for prevalence, attitude, and practice of PHR in study participants on electronic databases (PubMed, Google Scholar, J-Gate, and Medline). A total of 307 titles were identified on which nine were considered eligible for the study. Descriptive analysis was carried on the nine identified studies to know the prevalence, attitude, and practices of PHR. Results: The prevalence of PHR at least once was 75%, Friends (73%) were the prime motivators to initiate the first PHR activity. Personal Hygiene (69%) was cited as the most common driver for regular PHR activity. Shaving using Razor blade (58%) was the most common mode of PHR and Abrasion (34%) was the most common complication. Conclusions: Pubic Hair Removal is a common practice among both males and females, the practice is initiated and propelled mostly through personal preferences. The current need is to undertake population-based studies, specifically in developing countries and present the evidence-backed information on do’s and don’ts for optimum PHR experience with minimal complications. Key Messages: The researchers from developing countries must proactively initiate studies to understand the prevalence, attitude, and practices associated with PHR rather than market forces and lay information that leads to the misguidance of the general population leading to increased complications related to PHR.