The study was undertaken to assess the accumulation of some heavy metals (Cr, Co, Cu, Ni, Zn, Pb and Cd) in different tissues (muscle, gills, heart, liver, brain, bone and skin) of Tilapia nilotica. It is one of the most edible fish species in Egypt and was collected from a commercial fish farm in order to evaluate their potential risk to fishermen and consumers. This fish farm is fed with discharged water containing agricultural, industrial, sewage and domestic wastes. The length-weight relation and condition factor calculation of Tilapia nilotica samples showed a significant linear regression (r(2) = 0.920) and an average condition factor of 4.1 g/cm(3). This indicated that the health status for the studied fish samples was good. Metal pollution index (MPI) values for the determined heavy metals in the different tissues reflected that the muscle was the only tissue that had the lowest content. Provisional Tolerable Weekly Intake (PTWI) values for the investigated heavy metals were lower than those reported for the permissible limits. The data were evaluated by using ANOVA statistical analysis. For appraising the human health risk effects of heavy metals in fish muscle, estimated dietary intake (EDI) and hazard quotient (HQ) were determined. HQ levels indicated that Cr and Co were the only heavy metals among the determined ones that had values more than unity. Also, their relative contributions in fish consumptions were Cr> Co> Pb> Ni> Cu> Cd> Zn. The highest average HQ value of chromium determined in this study referred to the possible adverse effects of Cr on human health. Accordingly, the potential public health risks from dietary exposure to hazardous contaminants in fish species from fish farms must be continually subjected to research, regulation and debate.