COVID-19 pandemic substantially altered both the epidemiological landscape of tuberculosis and the functioning of TB control programs by disrupting the key stages of care delivery, from case detection to treatment initiation. This review summarizes evidence on the impact of the pandemic on case notifications, mortality, laboratory diagnostics, patient pathways, and the organization of TB services across different countries and regions. The analysis demonstrates that the pandemic period was associated with a decline in reported TB cases, increased mortality, reduced coverage of treatment for drug-resistant tuberculosis, and prolonged diagnostic delays. Particular attention is given to digital technologies, which are considered one of the main adaptive responses to the organizational challenges posed by the pandemic. The review examines the potential of telemedicine, video-supported treatment, mobile applications, and chatbots to maintain continuity of care, support early case detection, and optimize patient routing. The findings suggest that the post-pandemic transformation of TB services should focus on strengthening health system resilience, advancing patient-centered models of care, and integrating digital solutions into routine TB practice.