Male tilapia are globally preferred in aquaculture for their superior growth and uniform harvest sizes. However, hormonal sex reversal techniques used to produce all-male populations can pose health and environmental risks. This study investigated the growth performance of manually separated monosex males, monosex females, and mixed-sex groups of Nile tilapia in tank culture as a sustainable and hormone-free alternative. Over six weeks, the study measured various morphometric parameters, weight gain, specific growth rates, water quality parameters, and condition factors. The fish were fed isonitrogenous commercial feed, and the feeding regime was adjusted based on their weight. Results revealed that monosex tilapia groups attained higher growth rates than mixed-sex groups, with males achieving an average final weight of 56.5 g, followed by females at 53.3 g, and mixed-sex groups at 43.3 g. Males had higher morphometric values compared to females and mixed-sex groups. The water quality parameters remained optimal across all groups, indicating that sex composition does not impact water management. Monosex females and mixed-sex groups exhibited better condition factors. The study concludes that tilapia farming can be effectively conducted with either mono-sex male or mono-sex female tilapia, as their growth rates do not differ significantly. Further research and development of techniques to ease the separation of sexes and enhance the growth rates of monosex female tilapia are recommended as a viable, hormone-free alternative for sustainable aquaculture.