Sanmen Bay is one of the six major bays in Zhejiang Province, China. Its economic development over the past few decades has been rapid, and the intensity of ocean development has also been increasing. This paper analyzes the main resource and environmental problems in Sanmen Bay, including severe coastline development, significantly increased utilization of its intertidal zones, the threat to island resources from development, undiversified sea area use, and non-confirmation of ownership rights on a large scale. It then proposes countermeasures for high-quality development, including strictly controlling new land reclamation, strengthening coastal wetland protection and restoration, maintaining the natural shoreline retention rate, and preserving near-shore back-up spatial resources.