The objective of this review is to provide a comprehensive assessment of the threats posed by persistent toxic substances (PTS) to the environment and human health in Egypt and to identify priorities, data gaps and recommendations for future intervention to control, reduce or eliminate releases of PTS. Data on available concentrations of persistent toxic substances in the different environmental compartments and their impacts on the ecosystem, and humans have been assembled and summarized. Despite extensive studies, most of the data available deal with limited studies or hot spot situations. Localized inputs of PTS have been identified from freshwater discharges in coastal areas (e.g., Nile estuaries and coastal lakes) and near sewage outfalls from highly industrialized and populated cities. Data are often missing for certain contaminants and in some compartments and geographical areas. The lack of standardized methodologies makes it difficult to compare and use existing data to provide exact conclusions on spatial and temporal trends. In spite of these restrictions, available data indicate that it is unlikely that present levels of cyclodiene pesticides would adversely affect marine organisms. Compounds which are proven to be of concern are DDT, PCBs, gamma-HCH, PAHs, HCB and organotin compounds. Other compounds are suspected to be ubiquitous but data are lacking. Based on few recent data, the reported levels of organochlorine pesticides in fish and human milk samples suggest a concentration decline during the 1990s consistent with the regulatory restrictions on the use of these compounds. It is essential to activate monitoring programs to fill data gaps in appropriate abiotic and biotic. Monitoring programs should be follow standard procedures and include improved QA/QC protocols.