Water-saving irrigation techniques play a crucial role in addressing water scarcity challenges and promoting sustainable agriculture. However, the selection of appropriate water-saving irrigation methods remains a challenge in agricultural production. Additionally, the molecular regulatory mechanisms of crops under water-saving irrigation are not yet clear. This review summarizes the latest research developments in the application of different water-saving irrigation technologies to five important crops (rice, wheat, soybeans, maize, and cotton). It provides an overview of the impact of different irrigation techniques on crop yield, water use efficiency (WUE), physiology, growth, and environmental effects. Additionally, the review compares and contrasts the molecular regulatory mechanisms of crops under water-saving irrigation techniques with those under traditional drought stress, emphasizing the significance of combining irrigation technologies with genetic engineering for developing drought-resistant varieties and improving WUE. Furthermore, the integration of various technologies can stimulate new management strategies, optimize water resource utilization, and enhance sustainability, representing a major focus for future research. In conclusion, this review underscores the importance of water-saving irrigation technologies, especially when combined with genetic engineering, in addressing water resource scarcity, increasing crop yields, and promoting sustainable agriculture.