Plastic pollution, particularly from microplastics (MPs) and nanoplastics (NPs), has become a critical environmental and health concern due to their widespread distribution, persistence, and potential toxicity. MPs and NPs originate from primary sources, such as cosmetic microspheres or synthetic fibers, and secondary fragmentation of larger plastics through environmental degradation. These particles, typically less than 5 mm, are found globally, from deep seabeds to human tissues, and are known to adsorb and release harmful pollutants, exacerbating ecological and health risks. Effective detection and quantification of MPs and NPs are essential for understanding and mitigating their impacts. Current analytical methods include physical and chemical techniques. Physical methods, such as optical and electron microscopy, provide morphological details but often lack specificity and are time-intensive. Chemical analyses, such as Fourier transform infrared (FTIR) and Raman spectroscopy, offer molecular specificity but face challenges with smaller particle sizes and complex matrices. Thermal analytical methods, including pyrolysis gas chromatography–mass spectrometry (Py-GC-MS), provide compositional insights but are destructive and limited in morphological analysis. Emerging (bio)sensing technologies show promise in addressing these challenges. Electrochemical biosensors offer cost-effective, portable, and sensitive platforms, leveraging principles such as voltammetry and impedance to detect MPs and their adsorbed pollutants. Plasmonic techniques, including surface plasmon resonance (SPR) and surface-enhanced Raman spectroscopy (SERS), provide high sensitivity and specificity through nanostructure-enhanced detection. Fluorescent biosensors utilizing microbial or enzymatic elements enable the real-time monitoring of plastic degradation products, such as terephthalic acid from polyethylene terephthalate (PET). Advancements in these innovative approaches pave the way for more accurate, scalable, and environmentally compatible detection solutions, contributing to improved monitoring and remediation strategies. This review highlights the potential of biosensors as advanced analytical methods, including a section on prospects that address the challenges that could lead to significant advancements in environmental monitoring, highlighting the necessity of testing the new sensing developments under real conditions (composition/matrix of the samples), which are often overlooked, as well as the study of peptides as a novel recognition element in microplastic sensing.