Most wetlands in the Mediterranean basin are at low altitudes and are predominantly coastal. A number of large river deltas are well known in the Mediterranean. They include the Camargue at the mouth of the Rhone in France, the Po delta in Italy, the Ebro delta in Spain, the combined delta of the rivers Axios-Aliakmon-Loudias near Thessaloniki, the Nestos delta in Northwest Greece, the Evros delta on the border between Greece and Turkey, the Menderes delta in Western Turkey, the Medjerda delta in Tunisia and, of course, the enormous Nile delta in Egypt. These ecosystems provides a wide range of services (fresh water, food, recreactional, flood protection, biodiversity) but are in great danger due to human activities as well as climate change. This session will present different cases where these ecosystems have been used as Nature Based Solutions for water resources management in Mediterrenean countries, as well as an inovative moniroting tool (that can also support SDG6.6 reporitng) and will feature a round-table on the governance structures to ensure the success of ecosystem restoration and Natural Based Solutions at river basin level.