The aim of this chapter is to survey approaches being explored to combat or mitigate fouling, with a primary focus on coating systems. Biocidal coating systems (systems which release biocidal chemicals into the environment) are surveyed, beginning with current self-polishing coatings technology, continuing with new approaches being explored for self-polishing and erodible binder systems, and concluding with a discussion on the use of natural antifoulants and their synthetic analogues as a low-toxicity approach to antifouling. Approaches to non-toxic coating systems are then surveyed beginning with a discussion of the fouling-release concept. Non-toxic coating systems containing bound biocides, hybrid-coating systems, coatings having amphiphilic surfaces and other approaches reported in the literature are also discussed. Many of these new approaches are still in the research stage. By reviewing current research efforts in this field, it is hoped that additional innovative approaches will be stimulated, which can lead to environmentally responsible antifouling coating systems.