Over the last decade, Environmental Flow Assessment (EFA) has focused scientific attention around heavily-modified hydrosystems, such as flow regulated releases downstream of dams. In this light, numerous approaches of varying complexity have been developed, the most holistic of which incorporate hydrological, hydraulic, biological and water quality inputs, as well as socioeconomic issues. Finding the optimal flow releases, informing policy and determining an operational framework are often the main focus. This work exhibits a simplification of the DRIFT framework, and is regarded as the first holistic EFA approach, consisting of three modules, namely hydrological, hydraulic and fish quality. A novel conceptual classification for fish quality is proposed, associating fish fauna requirements with hydraulic characteristics, exported by fish survey analyses. The new methodology was applied and validated successfully at three stream sites in Lesotho, where DRIFT was formerly employed.