Aquatic ecosystems in South Africa are prone to invasion by several invasive alien aquatic weeds, most notably, Eichhornia crassipes (Mart.) Solms-Laub. (Pontederiaceae) (water hyacinth); Pistia stratiotes L. (Araceae) (water lettuce); Salvinia molesta D.S. Mitch. (Salviniaceae) (salvinia); Myriophyllum aquaticum (Vell. Conc.) Verd. (parrot's feather); and Azolla filiculoides Lam. (Azollaceae) (red water fern). Objective: We review the biological control programme on waterweeds in South Africa. Results: Our review shows significant reductions in the extent of invasions, and a return on biodiversity and socio-economic benefits through the use of this method. These studies provide justification for the control of widespread and emerging freshwater invasive alien aquatic weeds in South Africa. Conclusions: The long-term management of alien aquatic vegetation relies on the correct implementation of biological control for those species already in the country and the prevention of other species entering South Africa.