Studies of island biogeography and ecology have shown how island-specific features like area and degree of isolation can strongly influence island communities and species. Island plants, their pollinators, and interactions between them have been specifically influenced by both barriers faced when colonizing islands and evolutionary forces post-establishment. These forces encompass both stochastic and selective processes that drive differences between island plant-pollinator communities and species compared to their mainland counterparts.  As anthropogenic change leaves island communities especially vulnerable to disruption, understanding the forces shaping these systems may help us predict how species will react and aid in building community resilience. Determining how evolution has acted in these isolated systems will also provide insight into broader evolutionary trends in pollination. This research encompasses an extensive review of current literature on island plant-pollinator networks and their included species that reveals ecological patterns specific to island plant-pollinator systems, and explores how island geography and ecosystems have driven the evolution of island plants and their pollinators. Observational studies show an increased reliance on opportunistic and vertebrate pollinators by plants, and increased generalism throughout plant-pollinator networks as some of the characteristics that separate island systems from their mainland counterparts. While some of these differences may be the result of filters associated with colonization, phylogenetic analyses suggest many are the result of evolution post-establishment. Phylogenetic studies also suggest islands may be the origin for nectarivory specialization in several vertebrate clades. Further research will be required to fully understand how plants and pollinators have adapted to island conditions. Specifically, in situ or greenhouse experimental approaches, and studies focusing on insect pollinators are largely absent from the current literature. Future work should aim to address these gaps as well as expand on community-wide analyses and direct comparisons between mainland and island counterparts.