Environmental DNA (eDNA) analysis has transformed our understanding of aquatic ecosystems, but traditional methods often lack insights into organismal health. The emerging field of environmental protein (eProtein) analysis offers a novel approach to monitoring the physiological status of aquatic organisms. Recent advancements in proteomic technologies have enabled the detection and characterization of stress-responsive proteins in water samples, providing valuable insights into organismal health and environmental stressors. This perspective paper explores the potential of eProtein analysis for monitoring aquatic organism health, disease dynamics and reproductive cycles. Methodological advancements in protein extraction and mass spectrometry have enhanced the sensitivity and specificity of eProtein analysis, facilitating comprehensive molecular profiling and biomarker identification. By integrating eProtein analysis into aquaculture management and environmental monitoring, researchers can proactively manage fish health, mitigate disease outbreaks and safeguard aquatic ecosystems. Future research directions include refining extraction methods, establishing standardized protocols and leveraging interdisciplinary collaborations to maximize the potential of eProtein analysis for aquatic research and conservation.