This study assessed the effects of discharges from a sulphite-bleaching paper mill on winter flounder (Pleuronectes americanus) sampled each spring over a 5-year period in St. George's Bay, Newfoundland, prior to foraging activity. The fish were captured by SCUBA divers near the mill and at a reference site 10 km up current. Several bioindicators were used to assess fish health. Larger and older flounder exhibiting gross and microscopic tissue lesions, lower condition factor, and elevated hepatosomatic index but lower gonadosomatic index that was associated with delayed development, were observed in samples caught near the mill compared to those at the reference site. Additionally, fish examined near the mill were infested with an ectoparasite, Cryptocotyle lingua, that causes black spot disease but harbored fewer numbers of a digene, Steringophorus furciger, in the digestive tract than samples taken at the reference site. These results suggest that abnormal size distribution, interruption of growth, high prevalence of lesions, lower condition factor, enlarged liver, delayed gonadal development, and differences in parasitic levels were indicative of stress in winter flounder caused by discharges from the mill compared to samples from a reference site. There was no evidence of a population decline in the inlet because of annual recruitment possibly from St. George's Bay into which it opens.