With the advancement of technology and increasing industrial activity, anthropogenic contaminants are currently detected where there is no record of their presence or insufficient information about their toxicological impact. Consequently, there are not sufficiently robust local or global regulations, the ecotoxicological and human health risks are critical, and they may not be routinely monitored despite being ubiquitous. The interest in studying environmental contaminants, including micropollutants and emerging contaminants, in complex environmental water samples has grown in the last decade. Due to the concentrations in which they are typically found in the environment and the rapid global dispersion, the detection procedures for these substances must be capable of measuring very low concentrations. Many efforts have been made to improve remediation procedures or develop novel analytical methods for their determination. Although there are several robust and reliable standard analytical techniques for their monitoring, pollutant contamination requires simple and inexpensive methods for massive, in situ monitoring campaigns. In this regard, biosensors have emerged as devices with high selectivity, sensitivity, easy operation, and short analysis times. Aptasensors are biosensors based on a nucleic acid recognition element (aptamer). Due to their synthetic nature, stability, and easy production, aptamers are frequently employed to develop bioassays. This work presents a systematic review of the trends in using aptasensors for detecting environmental contaminants present in environmental water samples, as well as the estimation of the potential technological contribution these devices might give to environmental monitoring.