Microplastics (MPs), a growing environmental concern with potential ecotoxicological risks, are ubiquitous in aquatic environment. This study investigated the organ-specific distribution and variation of MPs in commercially caught fishes (7 species, 140 individuals) collected from Dhaka's two main fish distribution hubs (Uttara and Jatrabari). Additionally, the impact of different-sized MPs on fish growth (Anabas testudineus) was examined in a control experiment. Results revealed that kidneys of market fish bioaccumulated the highest concentration of MPs (average, 59.1 MPs/g), followed by liver (24.6 MPs/g) and intestine (18.6 MPs/g). On average, fish from Uttara had a higher MPs concentration (36 MPs/g) compared to Jatrabari (25 MPs/g). Among fish species, Glossogobius giuris showed the highest MPs bioaccumulation due to its feeding habits and morphology. Fiber-shaped MPs were most prevalent in all fishes (79–93%) except Glossogobius giuris (fragments, 51%). Fourier-transform infrared spectroscopy (FTIR) analysis identified 19 different polymer types, with high density polyethylene (HDPE), ethylene vinyl acetate (EVA) and polyamide (PA) being commonly found in all organs. The experimental study confirmed that large-sized PVC MPs (1.18 mm-300 μm) had a greater negative impact on fish growth (length) and caused more physical deformities (particularly intestinal injuries) compared to small-sized PVC MPs (150 μm–75 μm). Moreover, fish exposed to larger diameter MPs experienced highest physical weight and depth loss among exposed groups. Large-sized PVC MPs bioaccumulated highest in fish compared to small-sized PVC MPs. Similar to market fish, kidney in the experimental fish had the highest MPs bioaccumulation (6.5 MPs/g), followed by liver (5.2 MPs/g) and intestine (4.8 MPs/g), with a dominance of fibers despite the presence of high concentration of fragments in the food source. Statistical analysis also supported a clear correlation between increasing MPs size and adverse effects on fish growth and health. Urgent action is needed to curb microplastic pollution and protect ecosystems and human health.