Water pollution is a significant threat to aquatic ecosystems. Various methods of monitoring, such as in situ approaches, are currently available to assess its impact. In this paper we examine the use of fish in active biomonitoring to study contamination and toxicity of surface waters. We analysed 148 previous studies conducted between 2005 and 2022, including both marine and freshwater environments, focusing on the characteristics of the organisms used as well as the principal goals of these studies. The main conclusions we drew are that a wide range of protocols and organisms have been used but there is no standardised method for assessing the quality of aquatic ecosystems on a more global scale. Additionally, the most commonly used developmental stages have been juveniles and adults. At these stages, the most frequently used species were the fathead minnow (Pimephales promelas) and two salmonids: rainbow trout (Oncorhynchus mykiss) and brown trout (Salmo trutta). Few studies used earlier stages of development (embryos or larvae), mostly due to the difficulty of obtaining fish embryos and caging them in the field. Finally, we identified research gaps in active biomonitoring for water quality assessment which could indicate useful directions for future research and development.