ABSTRACT1. Fluvial maintenance is frequently undertaken to preserve the flood capacity, visual amenity, conservation value and geomorphic stability of managed river channels. Maintenance tasks include the management of both riparian and in-channel vegetation and maintenance dredging.2. Riparian vegetation is traditionally managed by physical methods such as cutting of grasses or removal of trees. Less environmentally severe alternative practices include grazing or shading for grasses, and practices such as pollarding or coppicing for trees.3. While a range of alternative maintenance practices, with varying environmental impact, are usually available for river managers to select, the potential for improving maintenance practices varies according to the particular task considered and the constraints imposed by the need to reach and maintain the target standard of service in terms of flood defence and land drainage.4. This review shows that economic and environmental impacts associated with fluvial maintenance operations may be reduced a t three scales. First, at the smallest scale, it is shown that there is often potential for improving the local operational efficiency of individual fluvial maintenance tasks. Second, it may be possible to reduce the intensity of maintenance in channel reaches which are presently over-serviced. Third, at the largest scale, it is shown that efficient maintenance is best achieved within the framework of Integrated Basin Management, and by giving appropriate consideration to future maintenance requirements a t the design stage of new projects to reduce the overall need for fluvial maintenance. Examples of the way in which these policies may be implemented to reduce environmental impact without compromising engineering objectives are illustrated through case studies from the UK and the USA.