Abstract The Akkar watershed of the El-Kabir River forms the northern boundary of Lebanon with Syria and drains into the Eastern Mediterranean Sea. This paper endeavours to provide a management plan tailored to the issues and needs of the Akkar watershed. It is not designed as a simplistic workbook of procedures but as a series of broad, thematic recommendations addressing the environmental problems identified by technical studies and interaction with the inhabitants of the watershed. It outlines a three-phase (short, medium and long-term) approach to address public health and water sustainability in the context of an enduring management system. In all phases, a set of underlying principles are utilized which incorporate a watershed approach, collaboration and cooperation, sustainability, a balance between water quantity and quality, equity and public involvement.