The St. Lucia Estuary, the largest estuary in South Africa, has been subject to many natural (a decade long drought) and anthropogenic impacts. A particular mouth manipulation activity, the artificial separation of the Mfolozi River and the St Lucia Estuary in 1952, was done to stop the perceived “silting up” of the estuary, but resulted in a decrease in freshwater supply. The changes in inflows (both fresh and marine) are controlled by management decisions and affect other system parameters such as salinity, water level and turbidity, which influence the distribution of biota. Therefore knowledge on the physico-chemical environment and eco-physiological tolerances of macrophytes will lead to informed future management decisions. The first of the three objectives carried out for this study determined the present state and distribution of the macrophytes of the St. Lucia and Mfolozi estuaries. The macrophyte habitats mapped in 2008 and 2013 were the submerged macrophytes, reeds and sedges, mangroves, grass and shrubs, salt marsh (succulent) and swamp forest. Results indicated that low salinity in the lakes and high water level in 2013 caused die-back or expansion of particular habitats. Submerged macrophytes, in particular Stuckenia pectinata, grows well in water with salinity <15 ppt, therefore this habitat increased by 412 ha (96%) in cover since 2008. Salt marsh decreased by 553 ha (57%) due to inundation. Since 2008 the reeds and sedges increased by 390 ha (in North Lake and the Narrows) due to the salinity decrease. In the Narrows the mangroves decreased by 28 ha (9%) in area cover. This was due to the drought that persisted for so many years, which caused low water levels and non-tidal conditions. The second objective was to determine the present state / health of the mangroves at four sites along the Narrows by assessing sediment condition and population structure of the trees. These results were compared to those obtained in 2010. The total density of Avicennia marina increased since 2010, however this was due to the large increase in seedlings at Site 1, the back channel site. The highest sediment salinity (26 ppt) and porewater salinity (29 ppt) was recorded for this site and these results show that this back channel site was strongly influenced by the open Mfolozi Estuary (increase in marine waters) and tidal conditions at the time of sampling in 2013. The total density of Bruguiera gymnorrhiza decreased, but an increase in adults was recorded at Site 2, the freshwater site. The soil collected from the Bruguiera quadrats was fresher and drier than that of the Avicennia quadrats of Site 2. Lack of seedlings (of both species) was due to the dense stands of Acrostichum aureum (mangrove fern) and Phragmites australis (common reed) and a thick, impenetrable mat of Avicennia pneumatophores. At Sites 3 and 4, the drier sites (where sediment moisture contents were the lowest for all sites at 43 and 42% respectively), seedling and sapling density was low, but adults increased in density since 2010. Recruitment and survival were impacted by the harsh environmental conditions that prevailed prior to 2013 (low water level and non-tidal influence), but adults survived. The results of the test that determined the percentage of aerenchyma of the pneumatophores indicated that waterlogging stress did not affect the aerenchyma of the pneumatophores. However the period of inundation was probably not significant enough to have affected the production of aerenchyma. The third objective formed part of an ongoing study by the Global Environmental Facility (GEF) on the feasibility of linking the Mfolozi River back to the St Lucia Estuary and the responses of these systems to different management scenarios: 1) the “do nothing” scenario; 2) maintain separate Mfolozi and St Lucia mouths representing an open mouth condition; and 3) actively facilitate a single mouth (therefore linking the Mfolozi and St Lucia mouths). Data gathered on the eco-physiological tolerances of the dominant macrophyte species was used to predict the response of the different habitats to these various management scenarios and the results indicated that the best management scenario would be to actively facilitate a single mouth (Scenario 3) as the estuary habitats would increase significantly because of preferred tidal and saline conditions, as this would represent more natural conditions. The results of the study will provide input to recommendations for future “adaptive management” strategies for the Global Environmental Facility (GEF) Project.