The international trade in corals has been identified as a potential cause of localized depletion of coral populations in the major coral-exporting countries. The international coral trade is regulated by the Convention on International Trade in Endangered Species of Wild Flora and Fauna (CITES) agreement, which requires that export of corals is not detrimental to the species. The primary coral importing regions (USA and Europe) have threatened to limit or ban coral imports unless sustainable practices can be demonstrated. The spatial and temporal scale at which sustainability is defined is important in evaluating sustainability, e.g. at geological, regional or local scales. Other major issues are: the ecology of the target species; management options including provision of no-take areas; and the potential for coral culture. Implementation of practices that enhance ecological sustainability in the coral harvest fishery is possible, but may be difficult in some developing countries because of limited natural-resource management capacity.