This document provides a review of biomonitoring approaches and bioindicators used for river ecosystems. It discusses key concepts in biomonitoring and defines bioindicators. The most common bioindicators for rivers - periphyton, benthic macroinvertebrates, and fish - are described in detail. Their importance in river ecosystems and advantages for biomonitoring are highlighted. Commonly used biomonitoring approaches include diversity indices, biotic indices, multimetric indices, and functional trait approaches. Biotic indices and multimetric approaches are frequently applied to evaluate river health, but functional measures are increasingly used as a complementary approach. Recent research also demonstrates the potential of molecular techniques to enhance taxonomic