Adult fleas are blood-feeding insects that exclusively infest mammals, acting as parasites and disease vectors. Although certain species exclusively inhabit nests, others are commonly found on the bodies of mammals. Immature stages develop in the soil, inside or near the nests of their respective hosts, making them susceptible to environmental alterations. On hosts, flea infestations are usually defined by abundance, prevalence, and diversity, varying according to host age, sex, size, behavior, habitat, and climate. However, in spite of their vast parasitological importance, fleas have only occasionally been used in applied research. This review focuses especially on the use of mammal fleas as tools or indicators in solving biological, epidemiological, ecological, and phylogenetic questions, and raises new perspectives for future studies.