ABSTRACT For patients who are aesthetically conscious, lingual orthodontic appliances provide an outstanding alternative to labial appliances. This study is intended to review the latest literature comparing labial and lingual orthodontics in terms of clinical outcomes and adverse effects. The electronic database search was done on PubMed, Cochrane Library, Embase, Web of Knowledge, and Google Scholar to find the current evidence. Lingual appliances were associated with increased overall oral discomfort, poorer speech performance, increased difficulty in eating and reduced intermolar width compared to labial appliances. On the other hand, lingual appliances were associated with increased intercanine width and substantially reduced loss of the first molar maxillary anchorage during space closure.