Transistor-based electrochemical devices play a vital role in advanced applications, namely fuel cells, supercapacitor, batteries, sensors/biosensors, etc. This chapter delves into integration of transistors with electrochemical devices, by initially highlighting the fundamental components of transistors and electrochemical devices, setting the stage for understanding their combined applications. Further, the synergy of transistor with electrochemical devices are explored in detail by providing the fundamentals and applications, particularly of various field-effect transistors, namely organic electrochemical transistors, ion-sensitive field-effect transistor, metal–oxide–semiconductor field-effect transistor, etc. Despite advancements in this field, challenges exist, such as stability and scalability, and overcoming these challenges can help in creating next-generation of technologies for applications in field of biomedical diagnostics and environmental monitoring. Further, development in integration of flexible and miniaturized transistors with electrochemical devices is the emerging trend, which can offer enhanced performance and new capabilities driving significant progress in various advanced applications and improving quality of life.