In the Pacific Island region, anthropogenic-induced ocean warming is impacting coral reefs through thermal coral bleaching (Adjeroud et al., 2009; Cumming et al., 2000; Davies et al., 1997; Kleypas et al., 2015; Lovell et al., 2004; Mangubhai, 2016; Obura and Mangubhai, 2011; Rotmann, 2001) and by reducing coral calcification rates (high confidence) (De'ath et al., 2009; Nurse et al., 2014). Ocean acidification is also affecting calcification rates (low confidence) (Barros and Field, 2014; IPCC, 2014; Johnson et al., 2016b), while tropical cyclones (TC) are becoming more intense (low confidence) (Elsner et al., 2008; Nott and Walsh, 2015), causing widespread coral damage (Johnson et al., 2016a; Mangubhai, 2016). Accelerating climate change is currently the strongest driver affecting coral dynamics (Aronson and Precht, 2016) exacerbating other non-climate pressures, such as pollution from land-based activities and coastal development, eutrophication, overfishing, crown-of-thorns starfish outbreaks, direct physical impacts (e.g. tourism-related impacts, trampling and anchor damage), and coral diseases, which together are causing changes in coral communities not previously recorded (high confidence) (Brown et al., 2017a; Hoffmann, 2002; Johnson, 2017; Maata and Singh, 2008; Maynard et al., 2015b; Mayor, 1924; Morris et al., 2008; Morrison, 1999; Movono et al., 2018; Singh et al., 2009; Sykes and Morris, 2009; Zann, 1994). Predicted increase in atmospheric carbon dioxide (CO2) concentrations will continue to increase ocean temperatures and acidity (high confidence) (Gattuso et al., 2015; Newman et al., 2018) as well as increase the intensity of TC (low confidence) (Elsner et al., 2008). Climate pressures will exacerbate non-climate pressures (high confidence) (Aronson and Precht, 2016; Sheridan et al., 2014; Wild et al., 2011), thus increasing the frequency and severity of coral bleaching, disease incidence, and mortality (high confidence) (IPCC, 2014; Langlais et al., 2017; Reisinger et al., 2014; Ruiz-Moreno et al., 2012; Sheridan et al., 2014). Declines in coral reef habitat will cause negative social-economic and ecological effects (high confidence) (IPCC, 2014; Morrison, 1999). Traditional systems of resource governance in the Pacific are often associated with healthy reefs (Hoffmann, 2002) and coastal communities depend heavily on coral reefs for food, income and livelihoods. Therefore, management and adaptation options must consider and build on the regional diversity of governance systems to enable community-based initiatives and cross-sectoral cooperation, taking into account traditional knowledge that can inform sustainable solutions to problems (Aswani et al., 2017; Morrison, 1999; Remling and Veitayaki, 2016; Veitayaki, 2014) and allow the involvement of a broader section of the community. Such an inclusive approach will offer enhanced opportunities to develop and implement measures to reduce non-climate pressures and develop early warning systems, to identify potential refuges for coral reef communities (Karnauskas and Cohen, 2012) and also to test coral farming, assisted colonisation and shading or other climate mitigation techniques (Barros and Field, 2014; Coelho et al., 2017).