Monticellia ophisterni n. sp. is described from the swamp-eel Ophisternon aenigmaticum Rosen and Greenwood (Synbranchiformes: Synbranchidae) from Lake Catemaco, Veracruz, Mexico. The new species is placed into Monticellia because of the cortical position of the testes, ovary, and uterus. It differs from other Monticellia species (with the exception of Monticellia magna (Rego, Santos and Silva, 1974)) in the position of longitudinal musculature that crosses the vitelline follicles, making them paramuscular. The new species can be distinguished from M. magna—which possesses a similar number of testes (107–139), paramuscular vitelline follicles, and numerous gland cells distributed between the apex of the scolex and suckers—in the position of the genital pore (8–21% vs. 19–27%), in the presence of a weak internal longitudinal musculature, in the arrangement of the testes in the median field, and in the absence of a vaginal sphincter. This is the first proteocephalidean tapeworm reported from a synbranchid fish and the first species of Monticellia found in North America.