The chemistry of organo-arsenic, -antimony and -bismuth compounds has been reviewed. General features of group 15 elements and the stereochemistries adopted by these elements are discussed briefly. This review covers the chemistry of tri-and pentavalent organometallic compounds of arsenic, antimony and bismuth as well as metal-metal and multiply bonded, heterocyclic and coordination compounds. Pharmaceuticals and environmental aspects of these compounds have also been discussed. Emerging trends in the field have been brought out in the end.