Trophic factors, such as neurotrophins, are fundamental for cellular processes including differentiation, growth, survival, and regeneration. These molecules exhibit significant morphological and phylogenetic conservation throughout the animal kingdom, indicating conserved functions. In fish, the oldest and most diverse group of vertebrates, neurotrophins, and their receptors play pivotal roles not only within the central nervous system but also in various peripheral tissues. They are distributed in mechanosensory, muscle, skin, respiratory, circulatory, digestive, endocrine, urinary, reproductive, and immune systems, suggesting their involvement in the development and maintenance of all tissues/organs/systems. Despite this broad distribution, studies focusing on these molecules outside of the central nervous system have been limited to just 12 fish species. These investigations have revealed diverse expression patterns across different ages and tissues/organs/systems, expanding our comprehension of their functions beyond the central and peripheral nervous systems. Notably, BDNF and NT-3 are prominently expressed outside the central nervous system, particularly in mechanosensory and digestive tissues, whereas NGF is predominantly observed in mechanosensory and urinary systems. The expression and localization of neurotrophins and their receptors vary among organs, underscoring tissue-specific roles. Further research is imperative to decipher the precise functions and mechanisms of action of neurotrophins and their receptors in diverse fish tissues. Enhanced efforts are needed to include a broader range of fish species in these studies to advance our understanding of these agents in complex vertebrates, thereby shedding light on tissue development, regeneration, and maintenance, with potential implications for addressing organ-related issues.