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There has been a steady decrease in the area occupied by wetlands in creeks and estuaries adjacent urban areas due to unprecedented urban growth in coastal cities, for example, Thane Creek and Ulhas River Estuary near Mumbai, India. Urban cities serve as centres of employment and attract a large number of migrants from other places. In case of coastal cities, due to inadequate infrastructure, wastewater and solid waste are disposed of into wetlands and estuary. Discharge of sediments and solid waste into the creeks from drains and construction activities has resulted in decreased flow depth in the coastal waters of Thane Creek and Ulhas River Estuary. Various researchers have studied individual elements of Thane Creek and Ulhas River Estuary at micro level. However, a holistic approach for restoration and conservation of the creek and estuary is required. This paper presents the details of an integrated approach incorporating different conservation measures such as sewerage and sewage treatment, urban drainage management, solid waste management, mangrove plantation and dredging.