Fish assemblages of lakes from central México have been altered as a result of water overexploitation, pollution, habitat fragmentation, and introduction of exotic species. Patterns and the extent of change in most of these systems are poorly documented. This paper presents a long-term study of changes in the fish fauna of Lago de Pátzcuaro (State of Michoacán, México). Long-term information (years 1900-2010) of fish communities was used to explore trends in the composition of the fish community and their ecological attributes. Trends across time for each fish guild were evaluated through a multivariate analysis of variance. Native species dominated total species richness over the entire study period, but exotic fish comprised 46% of the community in the 2010s. During the last 110 years, there has been a decline in the number of carnivore species and an increase of omnivore species in the Lago de Pátzcuaro fish community. Sensitive species have disappeared from the lake and species tolerant to environmental degradation have increased from 13 to 61%. The data suggest that anthropic effects on the environmental condition of Lago de Pátzcuaro are associated with the loss of ecosystem elements (fish species) and ecosystem processes (species interactions). Ecological restoration and conservation programs must include information of these long term studies to be more effective in their efforts.