Polycyclic aromatic hydrocarbons (PAH) are broad environmental contaminants, which, due to their lipophilic profile, tend to be absorbed on particles and finally accumulate in marine environments. Due to their cumulative power of adsorption, bivalves are major bioindicators of PAH pollution. Substantial research has been performed on the effects of PAH pollution on marine bivalves. Here we review PAH analysis using bivalves and effects of PAH on bivalves. Specific focus is given on: (1) PAH analytical methodologies and their performance, (2) levels of marine PAH as measured through bivalves within the last decade; current pollution status and (3) health effects of PAH on bivalves.