—Organophosphorus-derived pesticides are commonly used to control Culex quinquefasciatus, the principal vector of filariasis in India. This paper reports on the susceptibility of C. quinquefasciatus from Madurai city, Tamil Nadu and its environs, to the organophosphate Malathion. It was observed that both larval and adult mosquitoes had low levels of resistance to the pesticide, with resistance ratios at LC50, LC90, and LC95 varying from 0.94 to 3.07 in larvae, and 0.93 to 34.68 in adults. This observation indicates the possibility of higher resistance developing in C. quinquefasciatus populations, the limitation of organophosphorus compounds as larvicides in mosquito breeding sites as a measure to control filariasis, and the importance of research into alternative measures for managing C. quinquefasciatus.