The aim of this research was to evaluate the health status of the Scophthalmus maeoticus (Pallas, 1814) population from the Romanian marine area in 2016–2019, by identifying and investigating information about bacterial and constitutional diseases, establishing the influence of these bacterioses on the researched populations, and highlighting the main biological disorders (reproduction, growth, and feeding) that manifested in the analyzed fish. The bacterial diseases reported in S. maeoticus (Pallas, 1814) populations were caused by pathogens from the genera Vibrio, Aeromonas, and Pseudomonas. Numerous skin diseases, especially various types of “wounds”, lesions of bony tubercles, and tissue lesions may be the subsequent cause of neoplasms, as a result of fishing gear manipulations. The appearance of significant changes in the prevalence of neoplasia on the Romanian Black Sea coast can be considered an indicator of chronic stress (anthropogenic impact), rather than acute (environmental impact), and we suggest that the species could be used as a biological indicator of changes that may occur in the habitat in which it lives. In terms of future research directions, a combined analysis of the population structure, morphology and diseases determined in S. maeoticus populations, with a structural analysis of the habitat and bacteria contamination degree would be useful; this monitoring should be carried out regularly, to reveal changes in the Black Sea ecosystem, and to propose possible recommendations and protective measures.