Life sciences have been revolutionized by genome editing (GE) tools, including zinc finger nucleases, transcription activatorâLike effector nucleases, and CRISPR (clustered regulatory interspaced short palindromic repeats)/Cas (CRISPRâassociated) systems, which make the targeted modification of genomic DNA of all organisms possible. CRISPR/Cas systems are being widely used because of their accuracy, efficiency, and costâeffectiveness. Various classes of CRISPR/Cas systems have been developed, but their extensive use may be hindered by offâtarget effects. Efforts are being made to reduce the offâtarget effects of CRISPR/Cas9 by generating various CRISPR/Cas systems with high fidelity and accuracy. Several approaches have been applied to detect and evaluate the offâtarget effects. Here, the current GE tools, the offâtarget effects generated by GE technology, types of offâtarget effects, mechanisms of offâtarget effects, major concerns, and outcomes of offâtarget effects in plants and animals are summarized. The methods to detect offâtarget effects, tools for singleâguide RNA (sgRNA) design, evaluation and prediction of offâtarget effects, and strategies to increase the onâtarget efficiency and mitigate the offâtarget impact on intended genomeâediting outcomes are summarized.