To gain a more systematic understanding of the current status and evolving trends in O₃ exposure and health risk research, literature was retrieved from the CNKI and Web of Science (WoS) core collection databases. Bibliometric tools in R were used to analyze the Chinese and English literature related to O₃ exposure and health. The visualization software Origin and CiteSpace were then used to visualize the results, revealing the research development path in this field. The results showed that research on the health impacts of O₃ exposure increased steadily from 2000 to 2025, with 582 and 915 articles in Chinese and English literature, respectively. The research evolution comprised two phases: the budding phase (2000~2016) and the explosive phase (2017 to present). Collaboration among countries, institutions, and authors was relatively close in the English literature. The trends in English research progressed through four stages: technological accumulation and initial concern, exposure assessment and preliminary exploration of health effects, in-depth study of long-term exposure and health, and health burden assessment and policy guidance. Chinese keywords focused mainly on three aspects: health effects and impacts, pollution sources and formation processes, and temporal-spatial distribution and variation. Chinese literature evolved through three stages: early research and exposure assessment (2009~2015), identification of pollution sources (2016~2020), and the introduction of high-tech methods for risk assessment in specific groups (2021~2025).