Foods containing chemical and biological contaminant that exceed safety limit can be a cause of health problems. Aflatoxin is a chemical agent, a secondary metabolite produced by a fungus which commonly contaminates certain types of food including peanuts and corn. Aflatoxin is assumed to inhibit growth (growth retardation) resulting in failure to grow or stunting. This study aims to analyze the relationship between aflatoxin exposure and the risk of stunting through a systematic review using PICOTS elements in defining inclusion and exclusion criteria. The results are presented qualitatively namely meta synthesis. Six literature that met the inclusion and exclusion criteria were reviewed in this study. Consistent results were found in 3 studies conducted in the African region, where there was a correlation between aflatoxin exposure and stunting. This is convinced by the dose-response relationship found in those studies. One study showed a weak correlation and 2 studies showed no correlation between aflatoxin and stunting exposure. It was assumed that there is a threshold value of aflatoxin in causing growth retardation. Further research is needed to study the causal relationship between aflatoxin exposure and stunting. However, the existence of a correlation and on the alleged biological plausibility mechanism can be a preliminary finding to consider aflatoxin as one of the risk factors for stunting.