Bivalves are important members of the ecosystem and their populations are declining globally, making them a concern for their role in ecosystem services and the fishing industry. Bivalves are excellent bioindicators of MPs pollution due to their widespread distribution, filtering capabilities, and close association with human health. Microplastics (MPs) have direct and indirect impacts on bivalves, affecting their physiology, habitat structure, food sources, and persistence of organic pollutants. This review provides an extensive overview of the impact of MPs on bivalves, covering various aspects such as their economic significance, ecological roles, and importance in biomonitoring environmental quality. The article presents the current state of knowledge on the sources and pathways of MPs in aquatic environments and their effects on bivalves. The mechanisms underlying the effects of MPs on bivalves, including ingestion, filtration activity, feeding inhibition, accumulation, bioaccumulation, and reproduction, are also discussed. Additionally, a bibliometric analysis of research on MPs in bivalves is presented, highlighting the number of papers, geographical distribution, and keyword clusters relating to MPs. Finally, the review emphasizes the importance of ongoing research and the development of mitigation strategies to reduce the negative effects of MPs pollution on bivalves and their habitats in oceans and coastal waters.