Legionella pneumophila
(L. pneumophila) is an opportunistic waterborne pathogen and the causative agent for Legionnaires' disease, which is transmitted to humans via inhalation of contaminated water droplets. The bacterium is able to colonize a variety of man-made water systems such as cooling towers, spas, and dental lines and is widely distributed in multiple niches, including several species of protozoa In addition to survival in planktonic phase,L. pneumophilais able to survive and persist within multi-species biofilms that cover surfaces within water systems. Biofilm formation byL. pneumophilais advantageous for the pathogen as it leads to persistence, spread, resistance to treatments and an increase in virulence of this bacterium. Furthermore, Legionellosis outbreaks have been associated with the presence ofL. pneumophilain biofilms, even after the extensive chemical and physical treatments. In the microbial consortium-containingL. pneumophilaamong other organisms, several factors either positively or negatively regulate the presence and persistence ofL. pneumophilain this bacterial community. Biofilm-formingL. pneumophilais of a major importance to public health and have impact on the medical and industrial sectors. Indeed, prevention and removal protocols ofL. pneumophilaas well as diagnosis and hospitalization of patients infected with this bacteria cost governments billions of dollars. Therefore, understanding the biological and environmental factors that contribute to persistence and physiological adaptation in biofilms can be detrimental to eradicate and prevent the transmission ofL. pneumophila. In this review, we focus on various factors that contribute to persistence ofL. pneumophilawithin the biofilm consortium, the advantages that the bacteria gain from surviving in biofilms, genes and gene regulation during biofilm formation and finally challenges related to biofilm resistance to biocides andanti-Legionellatreatments.