Pesticides used to protect agricultural crops are often involved in human poisoning throughout the world. Therefore, forensic toxicologists must face the challenge of detecting, identifying and quantifying pesticides in human specimens. Forensic toxicology methods are difficult to standardize, as every case is unique, matrices analyzed are highly complex the nature of the target analyte is unknown. Due to the extremely complex nature of matrices normally analyzed in forensic toxicology laboratories, it is not recommended to perform instrumental analysis directly. Therefore, a sample preparation stage is necessary to male sample suitable for instrumental analysis. The present paper focusses its attention in reviewing sample preparation methodology normally employed in forensic laboratories for pesticides analysis. Sample preparation is considered as the bottleneck of the analytical procedure as it represents approximately the 80% of the whole process. Furthermore, an accurate sample preparation plays a central role in forensic case's resolution as any error occurred during sample preparation cannot be corrected even by the best instrumental technique. Databases searches were performed in order to know how many papers were published from 2008 related to pesticide extraction from human samples in a forensic toxicology setting. From the reviewed literature, it can be stated that the most used method for extraction of pesticides from human samples of forensic interest still are liquid-liquid extraction, solid-phase extraction and solid-phase microextraction. Moreover, it can be drawn as a conclusion that these conventional extraction techniques are now evolving thanks to the availability of some new materials that can be employed as solvents or sorbents. These new techniques have found a wide application in pesticides extraction from environmental or food matrices. However, with the exception of QuECHERS their implementation in forensic laboratories are nowadays limited. When available, examples of their application in forensic laboratories will be presented in this paper.