The aim of this clinical retrospective study was to analyse the prevalence of Trichomonas gallinae in budgerigars (Melopsittacus undulatus). The role of T. gallinae in budgerigars as the cause of a typical clinical picture (young vomiting budgerigars) is clear; however, the frequency of latent and subclinical diseases in pet birds is unclear. Over the period of 20 years (2000–2019), 16 759 birds were examined, of which 5 256 (31.36%) belonged to the genus Melopsittacus (budgerigars). Within the 5 256 presented budgerigars, 2 547 (48.45%) were examined for trichomonads using a microscopic examination of a crop wash, and, of those, 978 birds (38.39%) were found to be positive for T. gallinae. Only 96 (9.8%) of the positive budgerigars showed typical signs of the disease, such as loss of appetite, vomiting, weight loss or anorexia. Unspecific clinical signs were seen in 312 (31.9%), while 570 birds (58.3%) did not show any clinical signs and had been presented for a routine check or other medical problems. Treatment using metronidazole (Anaerobex, Flagyl) was successful in 82–85% of these diseased birds. Trichomonads can be detected in over a third of budgerigars, even if less than 10% of the positive ones show clinical symptoms.