Watersheds constituted by different geology, geomorphology, climates, land uses, soils, ecological communities, and vegetation covers. The watershed landscapes have established over geologic time while being shaped by patterns of climate, vegetation, and lithology. However, understanding the nexus between watershed health, geology and geomorphology has been less considered and requires a deep knowledge of their spatiotemporal scales of evolution. The current article, therefore, attempts to provide a brief review of geology and geomorphology concepts, importance and applications in watershed health assessment. Additionally, a list of most important geologic and geomorphologic criteria for watershed management and assessment provided as well. The provided information provides useful insights for land managers and decision makers and thus helps in the identification of gaps in knowledge that need to be addressed on a priority basis. It is highly suggested that the future developments in watershed health studies have focused in the direction of the geological and geomorphological process, taking advantage of empirical observations, mathematical and conceptual modeling to attain a quantitative description of real watershed health conditions.