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Microplastic pollution has adversely affected the aquatic ecosystem, living creatures, and human health. Several studies in Malaysia have provided baseline information on the existence of microplastics in surface water, ingestion by marine life and sediment. Also, humans are exposed to microplastic due to consumption of contaminated abiotic and biotic products, such as processed seafood. Nonetheless, knowledge is still scarce among Malaysian on the potential remediation and pollution management of microplastics, which poses a significant challenge to preserve a good environmental status. Green technologies also other alternative to mitigate the contamination of microplastics for sustainable future. Hence, this review aims to provide an overview of microplastic's occurrence, fate, and implications in Malaysia's aquatic environment. Detection of microplastics from the water surface, ingestion by aquatics, and sediment samples are highlighted. Available different treatment processes toward microplastic remediation are also discussed. Additionally, the potential challenges, current perspective for plastic management in Malaysia, as well as green strategies for reducing microplastic contamination are also put forward. The goal of this work is to improve the understanding of the seriousness of microplastic contamination in aquatic environments, thus encouraging key concerns that need to be investigated further. [ABSTRACT FROM AUTHOR]