Pesticides and heavy metals are considered as potent contaminants in aquatic environment. Both contaminants are sourced into the aquatic ecosystems by various types of anthropogenic as well as natural practices. Such types of aquatic contamination drastically affect the normal activity of associated living organisms particularly fish. Both the pesticides and heavy metals toxicity cause several negative effects on fish growth, physiology, immune response, reproduction, embryonic and larval development as well as different histopathology of major organs including fish gill, kidney, liver, gonads, and intestine. Besides, the consumption of contaminated fish possess serious health concern to associated consumers. Considering these serious issues, the current review is designed to investigate the toxic effects of pesticides and heavy metals on different aspects of fishes along with their possible sources, major types, and mode of action as well as role of medicinal herbs to mitigate their toxicity.