Most Thai rivers have not yet reached "good" ecological status. Furthermore, the scientific community is deeply concerned about the existence and abundance of microplastics (MPs) in freshwater. The live weirs' river health status was assessed using water quality and a variety of aquatic insect species. The research was conducted along Khlong-La, which was compared in the absence (R1, R2) and presence of living weirs (LWs) (M71, M62, M4, and M2). In 2023, aquatic insects and water samples were gathered during two months: January (rainy season) and July (dry season). The results revealed that the six sampling sites had similar physical and chemical properties, with the exception of total dissolved solids, which varied significantly. A total of 658 aquatic insects from 25 families and 6 orders were identified. The Hydropsychidae dominated the aquatic insect fauna at the LWs locations, followed by Chironomidae, Naucoridae, and Caenidae. Ten genera were discovered at the reference site (R1), whereas 16, 21, 24, and 19 were discovered at LWs (M71, M62, M4, M2), and 16 at the reference site (R2). The results of CCA ordination revealed that the most important factors influencing aquatic insect diversity were dissolved oxygen, water temperature, pH, electrical conductivity, and ammonia nitrogen. This study suggests that because of their significant responses to environmental factors, the species richness of aquatic insects may indicate the conservation value of habitats. The BMWPTHAI score was 41, 51, 57, 58, 73, 54, and the ASPTTHAI score was 5.12, 5.10, 5.18, 5.27, 4.86, and 5.40, respectively. Shannon-Weiner diversity index (Hʼ) values were 2.059, 2.461, 2.839, 2.777, and 2.587, respectively. The results showed that the water quality was average. The physicochemical data, as well as the BMWP and ASPT, revealed that the water at the living well was slightly polluted. Furthermore, larger MPs (>500 µm) were found in the largest concentrations, in the shape of fibers, and primarily in the color violet.