There is increased evidence of the co-occurrence of microplastics (MPs) with other co-pollutants in surface water globally, leading to ecological and environmental concerns. The risks and toxicity of co-occurring pollutants largely depend on the mechanisms controlling the activation of their various sources, their fate and transport in different environmental media. Due to their size-specific surface area, MPs in the environment can have a strong affinity for interactions with hydrophobic compounds and have a high sorption capacity for various emerging contaminants (ECs). ECs like the antibacterial and antifungal agent such as Triclosan (TCS) are persistent in the environment. Moreover, TCS in aquatic environments has a low solubility, and high octanol-water partitioning co-efficient which raises the possibility of TCS to interact with other environmental pollutants such as MPs. The interactions of TCS with MPs in the environment are controlled by a range of mechanism such as hydrogen bonding, hydrophobic interactions, π-π interactions as well as electrostatic interactions. The interacting behaviour of these driving forces needs to be fully understood to determine how the co-occurrence of TCS and MPs may lead to adverse effects on the biological functioning of aquatic ecosystems. Hence, here we conduct a systematic review of the current state-of-the-art and synthesize the available knowledge of how MPs can act as vectors for TCS in aquatic environments. This review reveals MP and TCS interactions in aquatic ecosystems, their individual and collective fate, and toxicological impacts on aquatic organisms, evidencing that MPs can act as potential vectors for transporting TCS across different trophic levels. This review also reveals critical limitations in the research of the combined toxicity and interactions of co-occurring MPs and TCS. Based on the rigorous review of the current knowledge base, we propose that multifactorious investigations along with long-terms monitoring are crucial to fully understand the impacts of co-occurring MPs and TCS in aquatic systems to underline future mitigation policies and management plans.