Salt marshes are coastal wetlands that are highly productive and biologically diverse ecosystems. These systems are under threat from rising sea levels which are predicted to accelerate in the future. Salt marsh habitats of the Swartkops, Kromme and Knysna estuaries were examined to determine their structure along an elevation gradient and how this structure has changed over the past six decades, what the primary drivers of this structure were and whether the salt marsh surface is stable, rising or declining relative to predicted sea level rise. During this study the following main hypothesis was tested: The environmental drivers of salt marsh zonation are elevation above mean sea level (AMSL), soil moisture and soil salinity, all of which will be impacted by the predicted rise in sea level of 1.48 mm.y-1, unless the salt marshes are able to accrete at a rate such that surface elevation gain is sufficient to offset the rate of sea level rise. The results showed that the salt marsh vegetation structure followed a predictable pattern down the elevation gradient with distinct supratidal, intertidal and subtidal habitats identified for each estuary. These three zones occurred between elevations around Mean Sea Level of -0.86 to 2.42 AMSL for Swartkops, -0.3 to 2.95 m AMSL for Kromme and -0.48 to 3.14 m AMSL for Knysna. A floodplain component was also identified in the Swartkops estuary, which was restricted to the upper reaches. During the last 60 years, losses of intertidal and supratidal salt marsh for Swartkops were 74.31 ha and 30.23 ha respectively, 17.01 ha of intertidal and supratidal salt marsh was lost in Kromme while intertidal salt marsh in Knysna has diminished by 168 ha. These losses were mainly attributed to developmental pressure, although there are indications that rising sea levels are becoming more influential in the lower reaches. The main environmental drivers for salt marsh structure in the Swartkops were shown to be soil moisture content and elevation, soil moisture and organic content for Kromme while elevation and soil redox potential were dominant in Knysna. In a comparison of all three systems, soil moisture content and redox potential were found to be the most important drivers of vegetation distribution. Elevation dictates tidal inundation periodicity and frequency, and thus acts to influence all edaphic factors driving vegetation distribution. Results indicated that the salt marsh surface elevation of the lower and middle sections of the Swartkops, Kromme and Knysna estuaries are generally declining relative to current sea level rise. Where increases in surface elevation (relative to current sea level rise) were recorded, the majority of the accretion occurred after episodic flooding in winter 2011. These increases typically occurred in the upper reaches and were attributed to the deposition of fluvial sediments as a result of these floods. Results for Knysna indicate that while a majority of the salt marsh surface is accreting vertically, only three areas are increasing their elevation at a rate at least equal to current sea level rise. In these areas, developmental pressures will prevent a landward transgression of the salt marsh, forming an artificial “coastal squeeze”. Geomorphological limitations (steep hills adjacent to the salt marsh) will prevent any transgression in the upper reaches of the Kromme Estuary. Supratidal habitat in the upper reaches of the Swartkops estuary, if undeveloped, will provide the only viable habitat for the salt marsh to migrate into, given sufficient surface elevation.