Bacterial infections comprise true obligate and opportunistic facultative pathogens. The distinction between 'primary', 'facultative' or 'opportunistic' cannot be taken too strictly as the virulence of the agent will determine its ability to overcome the host defences. Bacterial diseases are largely represented by Gram negative organisms and affect salmonids in fresh, sea water or both. A few important diseases of salmon and trout, both in fresh and sea water are caused by Gram positive bacteria. This chapter covers a wide range of bacterial diseases representing acute, chronic, systemic or localised infections affecting salmonids in fresh and sea water.