All species of Truttaedacnitis Petter, 1974, were examined for a phylogenetic analysis. Morphological studies showed that Truttaedacnitis truttae (Fabricius, 1794) from North America possessed a reduced button-shaped or nipple-shaped caudal mucron that is in contrast to the sharp spike-shaped mucron commonly reported in Eurasian specimens. Histological studies showed that the excretory pore in Truttaedacnitis sphaerocephala (Rudolphi, 1809) was situated near the level of the pseudobuccal capsule between the 2 parts of the ventral cephalic ridge. Cucullanus heterodonti Johnston and Mawson, 1943 is transferred to Truttaedacnitis based on the presence of prominent cephalic plates separated by sutures. An hypothesis regarding interrelationships among Truttaedacnitis spp. was developed using phylogenetic systematics. The anterior excretory pore is a synapomorphy supporting the monophyly of Truttaedacnitis clitellarius (Ward and Magath, 1917) and T. sphaerocephala parasitizing sturgeons. The arrangement of cephalic plates indicates that Truttaedacnitis pybusae Anderson, 1992 and T. truttae may form a monophyletic group and further supports the monophyly of T. clitellarius and T. sphaerocephala. Using unordered character states of different cephalic plates produced a cladogram that suggested that species in holarctic/circumboreal families (Acipenseridae, Salmonidae, Petromyzontidae) may be monophyletic. The systematics and biogeography of the various species of Truttaedacnitis and their host specificity indicate that associations in this parasite genus are very ancient and of a relictual nature, determined largely by past continental and oceanic configurations, and a combination of vicariance and dispersal.