English is the main language used in academic and research settings worldwide, playing a crucial role in acquiring knowledge across various fields and gaining access to cultural values from different parts of the world. In Saudi Arabia, English has become a vital language for effective communication and an integral part of the educational curriculum, particularly at the university level. All new students and those joining English departments must enroll in English courses as part of the Preparatory Year Program (PYP). Despite significant investments aimed at promoting the use of English among Saudi university students, the results have not met the authorities' expectations. This paper aims to conduct a comprehensive review of research carried out by Saudi scholars and others, focusing on the challenges faced by teachers and learners in the Saudi EFL context. The study will delve into the reasons behind the perceived shortcomings in English language delivery at the university level and explore a range of issues that are widely acknowledged to impact the teaching and learning process. By reviewing available studies in the literature, the study will examine related factors and discuss potential solutions to improve the learning and teaching situation.