During the masculinization of Nile tilapia, Oreochromis niloticus, the effect of a homeopathic complex (containing Chamomilla, Quina, and sulphur) was evaluated based on survival, performance, gills and liver integrity, and parasitism. Group fed with basal diet + 17 alpha-methyltestosterone (control) showed low survival (40.02%), while the group that additionally received homeopathy and the group that received sucrose (vehicle) showed 73.7% and 87.7% survival, respectively. The growth performance of the group that received homeopathic and the control group was significantly higher than that of the group that received only sucrose. Still, fish that received the homeopathic complex showed higher branchial and hepatic integrity as compared to the other groups. The homeopathic complex contributes to a greater survival of fish in addition to maintaining satisfactory growth. Furthermore, homeopathy contributes to the improvement in gill and liver integrity of the Nile tilapia larvae.