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Preheat oven to 400˚.
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Once heated, place Tilapia fillets onto a baking sheet lined with parchment paper. Cook for 10–12 minutes, depending on the thickness of the fillets. Once cooked, top each fillet with pesto.
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Heat a large skillet over medium heat. Add olive oil, broccoli, asparagus, green peas and garlic. Season with salt and pepper to taste. Cook on medium for 15–20 minutes, tossing occasionally, until the vegetables are softened to your liking.
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Meanwhile, heat a large pot of salted water over high heat. Once boiling, cook your pasta according to the package instructions.
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Once pasta is cooked, add the noodles and reserved pasta water to the large skillet with the vegetables. Reduce to low heat and add in butter, herbs, parmesan and lemon juice. Toss until well combined.
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Divide your pasta between four bowls, and serve each with a pesto Tilapia fillet.