Estuarine fish research in South America began in the early 20th Century, but it is only within the last 40 years that detailed studies have been undertaken. This review firstly summarizes research results from South American estuaries by geographic area, starting with the temperate south-east, then the temperate–sub-tropical transition zone in Brazil, then the semi-arid and tropical estuaries of north and north-east Brazil including the Amazon complex, then the north and Caribbean coasts and finally down the Pacific coast of the continent. They include almost all types of estuarine systems, from large open systems (e.g. the temperate Rio de La Plata and tropical Amazon) to extensive coastal lakes (e.g. the temperate Patos Lagoon and tropical Cienega Grande de Santa Marta). They encompass a broad range of climatic and vegetation types, from saltmarsh systems in the south-east and fjords in the south-west to both arid and humid tropical systems, dominated by mangroves in the north. Their tidal regimes range from microtidal (e.g. Mar Chiquita, Argentina) through mesotidal (e.g. Goiana, Brazil) to macrotidal in the Amazon complex where they can exceed 7 m. The review uses where possible the recent standardization of estuarine fish categories and guilds, but the ways that fishes use tropical South American systems may necessitate further refinements of the categories and guilds, particularly in relation to freshwater fishes, notably the Siluriformes, which dominate many north and north-east South American systems. The extent to which South American studies contribute to discussions and paradigms of connectivity and estuarine dependence is summarized, but work on these topics has only just begun. The anthropogenic issue of pollution, particularly in relation to heavy metals and fishes and fisheries in estuaries is more advanced, but the possible effects of climate change have barely been addressed. Studies around conservation and management are briefly reviewed and the extent to which key factors are being addressed is examined. Although there have been major advances in knowledge of estuarine fishes in South America, information is patchy, with most data from relatively few systems in Argentina and Brazil.