In this paper, attention is drawn to the deterioration of Romanian surface water ecosystems due to eutrophication, an important environmental issue both at national and international levels. An inventory of existing studies dealing with the issue of the eutrophication of lakes and reservoirs in Romania is made, aiming to identify the main problems Romania is facing in monitoring, classifying, and managing eutrophic ecosystems. On Web of Science, the keyword “Eutrophication”, with “Romania” as country/region, leads to 50 publications, which are analyzed in this review. The number of articles found does not reflect the real environmental issue represented by eutrophic lakes and reservoirs in Romania. At a national level, only 126 lakes and reservoirs have been monitored and assessed between 2018 and 2020, in terms of ecological status/ecological potential. Thus, at a global evaluation, 77% of natural lakes and 33% of artificial ones do not reach the quality objectives. The results of this study showed that the frequency of measurements taken by water quality indicators is not the strongest point of measurement campaigns, as it is not sufficient for the diagnosis of eutrophic lakes, and supplementary measures must be undertaken to better understand and mitigate this phenomenon.