The review aims to report the state-of-the-art constructed wetlands (CW) in the Latin America and Caribbean (LAC) region not limited to national and local conditions. The aim is with a broader view, to bring updated and sufficient information, to facilitate the use of the CW technology in the different countries of LAC. Thus, 520 experiences extracted from the 169 reviewed documents in 20 countries were analyzed. According to the data, horizontal subsurface flow wetlands are the most reported CW in the region (62%), the second most common CW technology in the region is free water surface CW (17%), then vertical flow systems (9%), followed by intensified constructed wetlands (8%), and finally French systems (4%). The performance for nutrient removal is analyzed, finding that the mean of Chemical Oxygen Demand (COD), Total Nitrogen (TN), and Total Phosphorous (TP) removal efficiencies varies from 65% to 83%, 55% to 72%, and 30% to 84%, respectively. The results suggest a generally good performance for COD and TN removal, but a low performance for TP removal. Regarding plant species used for CWs, 114 different plant species were reported, being until now the most extensive report about plant species used in CWs in the LAC region.