Digenea usually use ventral sucker for sustainable attachment within intestine of their definitive vertebrate host. However, if the ventral sucker is absent or poorly developed, the means of attachment are unclear. We investigated attachment and locomotion in such digeneans: three species of the family Microphallidae (Microphallus piriformes, M. pygmaeus, and Levinseniella brachysoma) and two species of the family Heterophyidae (Cryptocotyle concava and C. lingua). Their tegumental spines and musculature were described with use of fluorescent actin staining, confocal microscopy, and scanning electron microscopy. Locomotion of living worms was observed and recorded. Wide serrated tegumental spines probably play the main role in attachment. Their firm contact with the host mucosa may be provided by the action of the ventral concavity—when the entire body or its part acts as a sucker. Dorsoventral muscle bundles act like radial musculature of the sucker generating negative pressure in the ventral concavity. The solid layer of longitudinal muscle fibers on the ventral body surface provides support for the bottom of the ventral concavity. In all microphallids, a U-shaped arrangement of body wall musculature (mostly originating from longitudinal fibers) outlines posterior part of the ventral concavity ridge. In all the studied species, tegumental spines, body wall musculature, and dorsoventral muscle bundles are better developed in the forebody which moves more actively than the hindbody.