Years after the idea of integrated coastal zone management was formulated theoretically, Mediterranean countries inside and outside the European Community still have not put the concept into practice. In part, due to the lack of planning by competent authorities and the lack of social dialogue and consensus, conflicts between aquaculture and other coastal uses are beginning to appear. Nations must develop instruments for integrated coastal zone management in which aquaculture occupies a place without detriment to other coastal zone uses. The relevance of this activity should be assigned in accordance with political priorities and international agreements. Once the basis for industrial aquacultural development is consolidated, a series of specific measures should be adopted in three areas in order to conserve regional uniformity in the Mediterranean, the focus of which would be: (i) regulatory or legislative measures; (ii) economic measures (service fees, financial aids and incentives, and market creation); and (iii) administrative measures.