Surgery in fish is feasible and practical for clinical and research applications. Certain adjustments in standard surgical procedures are necessary to accommodate piscine tissue handling, skin sensitivity, aqueous respiration, anatomic variations, and patient size. General considerations for fish surgery, including anesthesia, presurgical evaluation, equipment, suture selection, and surgical site preparation, have been presented here. Procedures described include celiotomy, enucleation, pseudobranchectomy, swim bladder surgery, gonadectomy, liver and kidney biopsy techniques, telemetry device implantation, and vascular catheterization.