Microplastics (MP) provide a unique and extensive surface for microbial colonization in aquatic ecosystems. The formation of microorganism-microplastic complexes, such as biofilms, maximizes the degradation of organic matter and horizontal gene transfer. In this context, MP affect the structure and function of microbial communities, which in turn render the physical and chemical fate of MP. This new paradigm generates challenges for microbiology, ecology, and ecotoxicology. Dispersal of MP is concomitant with that of their associated microorganisms and their mobile genetic elements, including antibiotic resistance genes, islands of pathogenicity, and diverse metabolic pathways. Functional changes in aquatic microbiomes can alter carbon metabolism and food webs, with unknown consequences on higher organisms or human microbiomes and hence health. Here, we examine a variety of effects of MP pollution from the microbial ecology perspective, whose repercussions on aquatic ecosystems begin to be unraveled. Display omitted •Microplastics (MP): an abundant surface for biofilm formation in aquatic ecosystems.•MP biofilms potentially maximize gene exchange and biodegradation.•MP pollution has the potential to increase the spread of antibiotic resistance.•MP biofilms are new and unique niches for biochemical processes in an ecosystem.•Comprehensive hazard assessment of MP requires a microbial ecology perspective.