ABSTRACT Fishes are hosts to a range of taxonomically diverse parasites. This survey was intended to provide insight into the occurrence, distribution, prevalence, and intensity of parasites infesting the fingerlings of the tilapia, in Tigray. A total of 384 Oreochromis niloticus specimens were collected from Midmar consisting of 227 males and 157 females. External and internal organs were examined for parasite infection. Squash preparation of fish eyes was also examined to reveal the organisms through microscopic examination. The major groups of parasites were trematode, nematodes, protozoa and hirudinea. A total of 3762 genus Diplostomum were recorded affecting the health of 93% of fishes. Contracaecum species was the second most prevalent distributed majorly in the intestine (77.8%), pericardial cavity (19.1%), swim bladder (2.4%), gill (0.2%) and mouth (0.8%). The prevalence and mean intensity of Diplostomum spp., Contracaecum, Myxosporea, Clinostomum spp., Eustrongylides and Leeches was 93%(10.5), 62.2%(5.3), 39.3%(8.3), 2.1%(8.8),1.8%(5.7) and 1.6% (2.5), respectively. The mean temperature, dissolved oxygen, conductivity, and pH of the dam were 24.4°C, 7.55 mg/l, 849.5µs/cm, and 7.5, respectively. Therefore, responsible bodies in fisheries should perform a pre-stock assessment and provide fish farming extension services for optimum production and marketing of fish products with management and production enhancement methods.