This study aimed to evaluate the effects of the homeopathic complex Homeopatila RS (REAL Homeopathy, Brazil), in the performance, sexual proportion and gills and liver histology of the Nile tilapia fish (Oreochromis niloticus L.). 4,800 post-larvae were treated for 45 days, in 12 tanks (500 L), in a closed environment, with density of 400 larvae per tank. Three treatments were given: alcohol 30%, negative control (C); hormonal, positive control, 17 alpha-methyltestosterone (H); homeopathic, Homeopatila RS, in ethanol (HH), with four replications. Mean values for length, weight, liver somatic index, condition factor, survival rate, average values of histological alterations and sexual proportion were determined. Analysis revealed significant differences (p<0.05) in growth, survival rate, liver somatic index and average values of hepatic histological alterations between treatments. It was concluded that the addition of Homeopatila RS to the diet of Nile tilapias, during the phase of gonadal differentiation, did not induce any alteration in the sexual proportion. Homeopathically treated fish were significantly smaller, but had significantly greater survival than the other two groups, there was no significant difference in final total biomass. The homeopathically treated fish had a lower liver/somatic index with less hepatic lipid inclusions than the other groups.