Schistosomiasis is considered a neglected tropical disease instigated by flatworms of the genus Schistosoma, remnants a major problem in several parts of the world. A timely and accurate diagnosis is indispensable for disease management and control. Significant advances in the identification of schistosomiasis have been made in current years, improving our ability to detect and characterize infections. This chapter focuses on recent advances in schistosomiasis diagnosis, with an emphasis on new methods and approaches. Molecular diagnostic techniques, such as polymerase chain reaction (PCR), and loop-mediated isothermal amplification (LAMP), have exhibited the ability to improve schistosomiasis findings, sensitivity, and specificity. These techniques identify Schistosoma DNA in biological specimens such as blood, urine, and stool, allowing for early detection and monitoring of infections. Furthermore, the development of multiplex PCR assays allows for the finding of multiple Schistosoma species at the same time, which aids in species-specific diagnosis and epidemiological studies. In addition to molecular approaches, serological test-based antibody detection has advanced significantly. When compared to traditional methods, novel serological assays utilizing recombinant antigens and antigen-detection methods have demonstrated improved diagnostic accuracy, offering increased sensitivity and specificity. These tests not only detect current infections but also provide information about previous exposure to Schistosoma parasites. These non-invasive methods enable assisting in treatment decisions and assessing treatment efficacy. Finally, recent advances in schistosomiasis diagnosis have greatly expanded our diagnostic capabilities, allowing for more accurate and efficient infection detection. Molecular diagnostics, serological assays, and imaging modalities have all contributed to a better understanding of the disease and better patient care. Continuous research and innovation in diagnostic methods are required to improve global schistosomiasis control and elimination efforts.