The use of adjuvants or immunostimulants is often necessary to increase vaccine efficacy, in this study we evaluated the improvement of the immune response in tilapia treated by either oral and immersion administration with vaccine and Boesenbergia pandurata extract (BPE). The initial concentration of BPE and the cell density of vaccine were 900 mg L-1 and 104 CFU mL-1 for oral administration while 106 CFU mL-1 for immersion, respectively. The extract and vaccine were mixed homogeneously in a ratio of 1:1. Further, the mixture was supplemented to feed at 1 mL g-1 feed. Tilapia with average initial body weight of 15 g were fed containing vaccine and BPE 3 times a day. The other group of fish was immersed with vaccine and BPE for 20 min. After 7th (d7), 14th (d14) and21th (d21) days of treatment, a challenge test was conducted by intramuscularly injection of 0.1 mL of Aeromonas hydrophila and Pseudomonas fluorescens mixture (1:1) at a density of 105 CFU mL-1. Antibody levels, total white blood cell (WBC) and phagocytic activity (PA) were evaluated to determine the immune improvement of the fish. Furthermore, relative percent survival (RPS) and the survival rate (SR) were evaluated at week 2 and 4 after challenge test. Results indicated that the all parameters of tilapia immune system were increased (p<0.05) after 2-4 weeks of both administration methods. Meanwhile, the efficacy of the vaccine has increased by combining BPE treatment using immersion method better than oral method. The RPS of vaccination plus extract by immersion was 83-100% and by oral administration was 83-87%. The present results implied that B. pandurata extract boost the efficacy of the Pseudomonas sp. vaccine by increasing the immune system and diseases resistance in tilapia.