Perverse-Hodge complexes are objects in the derived category of coherent sheaves obtained from Hodge modules associated with Saito's decomposition theorem. We study perverse-Hodge complexes for Lagrangian fibrations and propose a symmetry between them. This conjectural symmetry categorifies the "Perverse = Hodge" identity of the authors and specializes to Matsushita's theorem on the higher direct images of the structure sheaf. We verify our conjecture in several cases by making connections with variations of Hodge structures, Hilbert schemes, and Looijenga-Lunts-Verbitsky Lie algebras.