Serotonin affects immunological regulation, hemostasis, vasoconstriction, gut motility, and is linked to several diseases. During peristalsis, serotonin (5-HT) is released from the gut mucosa and is largely generated by enterochromaffin cells (ECs) rather than gut microbes. Gut bacteria can stimulate the production of 5-HT. Serotonin in the blood that is retained within the platelets contributes to the production of clots and platelet aggregation. It binds to receptors such as 5HT2A, producing platelet aggregation and neuronal excitement. It regulates vasoconstriction via 5HT1D in cranial blood arteries. Atherosclerosis, thrombosis, and hypertension are some cardiovascular conditions liked to serotonin dysregulation. Serotonin imbalances in the gut influence gut motility and absorption, leading to conditions such as irritable bowel syndrome (IBS). 5-HT receptor subsets (5-HT1, 5HT2B, 5-HT3, 5-HT4, and 5-HT7) in gut are promising therapeutic targets. Serotonin in the Central Nervous System (CNS) controls a variety of behavioral and cognitive activities. 5-HTRs, including 5-HT1A and 5-HT2A, can have conflicting effects on pyramidal neuron firing. The chapter comprehends 5HTRs’ involvement in the blood, gut, and brain, emphasizing its significance in modulating a variety of biological activities. Further investigation must be conducted to better comprehend the complexity of serotonin signaling to develop innovative treatment techniques that target serotonin receptor networking.