Erosion and sedimentation have a very big influence on flooding. Floods are strongly influenced by land use and population activities that change the river's physical condition, including erosion and sedimentation. The river upstream was very steep, and the downstream was narrowing and meandering with high rainfall recorded. This study analyses erosion, sedimentation, and its handling using the eco-hydraulic base. The method involves input rainfall data, river hydraulics, land use, watershed area, and land cover. The analysis of hydrology, hydraulics, land use, flood discharge, and eco-hydraulic, inundation height, vegetation diameter, velocity reduced, and riverbank width measured in five bridges cross-sections along the river. The eco-hydraulic compares the width of existing riverbanks and design, high inundation, and the vegetation diameter to minimise flood discharge. Erosion in the right cliff is 22.73% and the left cliff is 37.04%, land erosion was 225.83 Mg•ha -1 •year -1 . The river's bottom is formed by rocks of 0.18-1.30 mm. The plantation land used around the Lae Kombih River grows mainly an oil palm with a diameter of 0.5-0.7 m. The riverbank design on 100 m for vegetation diameter of 0.1-1.0 m can retain flood discharge for five years return period up to 72.3%, resulting in discharge of 112.04209.43 m 3 •s -1 . The largest erosion and sedimentation on the river border is Dusun Silak, so it is recommended to plant Vetiveria zizanioides, Ipomoea carnea and Bambusoideae. An inundation height of 0.9 m can be recommended to design an embankment to be used as flood mitigation.