Extensive damage to over 1000 plant species, including food crops, oil and industrial crops, vegetables, fruit trees, ornamentals, fodder species and weeds, has been caused by emerging phytoplasma-mediated diseases, thereby posing significant threat to global food security. Multiple factors, including environmental changes, invasion pathways, vector transmission and the emergence of new pathogen lineages, contribute to the spread of these diseases. Effective management requires stable, long-term strategies to safeguard plant health. Key approaches include comprehensive loss assessments, integration of climate change impacts, predictive modelling, enhanced disease surveillance, and improved detection techniques targeting phytoplasmas. This review highlights phytoplasma-associated plant diseases, emerging pathogen threats, and the factors facilitating their spread, alongside methods for surveillance and detection. In addition, case studies and global collaborative efforts are discussed. Finally, we outline future research priorities aimed at improving the management of phytoplasma-induced plant diseases.