The new cymothoid species, Elthusa winstonisp. n., a branchial parasite of fishes from the family Acanthuridae Bonaparte, 1835 in Hawaii, is described and figured. The female adults can be distinguished by the strongly vaulted body and compacted body shape; rostrum with a small median point; short antennae which are close together (only 6 articles in both antennula and antenna); short and wide uropods extending to half the length of the pleotelson; short dactyli on pereopod 7; and large recurved robust setae on the maxilla. This is the first record of an Elthusa Schioedte & Meinert, 1884 species from the Hawaiian Islands and only the fifth cymothoid described from this region.
Keywords: Acanthurus nigroris; Ctenochaetus strigosus; Marine fish parasite; Pacific Ocean; branchial cavity.