Remediation of sites impacted by human activity in Antarctica is a difficult and resource intensive process. With increasing activity and climate change, the extent of damage from human activities is expected to increase and it will not be feasible to protect the environment entirely. We recommend a triage process be used to provide informed and transparent management decisions for comprehensive and adequate environmental remediation in Antarctica. We provide examples that demonstrate realistic outcomes where we have avoided tying up resources on disturbed sites that will recover naturally, are stable, or too damaged to recover, and that also incorporate feasible operational practices. Not all disturbed sites will be remediated and many of those that are, are unlikely to be returned to pristine condition. The decisions around remediation are not based solely on the desired environmental outcome. In the absence of effective legal obligation, we recognize that financial, social, policy, health and safety, technological confidence, and operational feasibility are part of the decision-making process.