Integrated coastal management (ICM) seems to be the obvious choice for small island developing states (SIDS) in the Caribbean that aim for sustainable development. The Code of Conduct for Responsible Fisheries, available globally for voluntary adoption since 1995, is promoted by the Food and Agriculture Organisation of the United Nations (FAO). Article 10 of the Code addresses the integration of fisheries into coastal area management. It deals with institutional frameworks, policy measures, regional cooperation and implementation of ICM. Observations in some of the small islands of the Caribbean suggest that while progress has been made, there is still a long way to go. Some of the challenges include public administration, representation of stakeholders, and issues of power and equity. These are in addition to the technical and scientific challenges surrounding multiple uses of natural resources. The Coastal Management Research Network (COMARE Net) of the University of the West Indies is one of the several recent initiatives that attempt to improve the practice of integrated coastal management in the region.