The last relevant work that reviewed the biological and conservation aspects of the Amazonian manatee (Trichechus inunguis) was published almost 30 years ago. In these three decades, scientific knowledge about the species has advanced substantially. This review article updates knowledge about the various biological and conservation aspects of Amazonian manatee, summarizing the information present in the literature. Topics such as morphology, habitat, distribution, population aspects, food and feedings habits, reproduction, behavior, health, threats, status, and conservation efforts were addressed. The main actions already carried out, as well as the future strategies needed for the conservation of the Amazonian manatee, are also highlighted.