Monogeneans rely on firm attachment to often flexible and uneven surfaces and are renowned for their effective posterior attachment structures in the form of adhesives, clamps, hamuli and suckers. Polystomatids do not secrete adhesives and do not have clamps. While only some have hamuli, all have suckers in the adult form. Three different types of haptoral suckers have been described based on basic morphology but have never been studied in depth. Using enzyme digestion and light (differential interference contrast), confocal and scanning electron microscopy, we examined representatives and propose four sucker types. Haptoral sucker Type I are symmetrical soft, flexible, cup- to disk-shaped suckers and are found in all polystomes infecting frogs and salamanders. Type II suckers are symmetrical soft, flexible, cup-shaped suckers with a hollow continuous skeletal ring and no other skeletal elements. They are found in species of Nanopolystoma Du Preez, Wilkinson et Huyse, 2008 infecting caecilians. Type III suckers are symmetrical firm, cup-shaped suckers with elaborate skeletal elements that contribute to a secure grip on the host tissue. This type of sucker is found in all polystomes infecting freshwater turtles and the common hippopotamus. Type IV suckers are asymmetrical with an elaborate series of long, thin sclerites with terminal spines or hooks. This type of sucker is only known from Concinnocotyla australensis (Reichenbach-Klinke, 1966) infecting the Australian lungfish. These different sucker types are crucial for the survival of polystomatid flatworms within their respective microhabitats.