The control of groundwater abstraction from coastal aquifers is typically aimed at minimizing the risk of seawater intrusion, excessive storage depletion and adverse impacts on groundwater-dependent ecosystems. Published approaches to the operational management of groundwater abstraction from regulated coastal aquifers comprise elements of "trigger-level management" and "flux-based management". 1832 A.D. Werner et al.Trigger-level management relies on measured groundwater levels, groundwater salinities and/or ecosystem health indicators, which are compared to objective values (trigger levels), thereby invoking management responses (e.g. pumping cutbacks). Flux-based management apportions groundwater abstraction rates based on estimates of aquifer recharge and discharge (including environmental water requirements). This paper offers a critical evaluation of coastal aquifer management paradigms using published coastal aquifer case studies combined with a simple evaluation of the Uley South coastal aquifer, South Australia. There is evidence that trigger-level management offers advantages over flux-based approaches through the evaluation of real-time resource conditions and trends, allowing for management responses aimed at protecting against water quality deterioration and excessive storage depletion. However, flux-based approaches are critical for planning purposes, and are required to predict aquifer responses to climatic and pumping stresses. A simplified modelling analysis of the Uley South basin responses to different management strategies demonstrates the advantages of considering a hybrid management approach that includes both trigger-level and flux-based controls. It is recommended that where possible, trigger-level and flux-based approaches be adopted conjunctively to minimize the risk of coastal groundwater degradation and to underpin strategies for future aquifer management and well-field operation.