The exponential increase in population and economic activities has led to the intensification of agriculture and aquaculture in developing countries. The Green Revolution in the 1960s and Blue Revolution in the 1980s were giant steps in this direction to meet the food demand of the burgeoning population. It resulted in the increased use of modern technology for the intensification of agriculture and aquaculture in India. However, coping with the ever-increasing demand for food has adversely impacted our environment. Hence, it is imperative that we explore sustainable practices that enable us to produce more food without compromising environmental integrity and human health. Integrated rice-fish farming is one such solution that optimizes use of resources, maintains sustainable environmental conditions and provides socio-economic stability to the farmers. This review summarizes the various integrated rice-fish cultivation systems practiced in India including traditional practices, their importance, recent development in this area and the existing challenges.