Health Country Plans (HCP) are Indigenous-led frameworks that integrate traditional ecological knowledge and western conservation strategies. This framework is adapted from the Open Standards for the Practice of Conservation, facilitating approaches that prioritize community needs and priorities as well as their engagement, participation and inclusion. Therefore, HPC is an important framework to ensure the sustainable management of indigenous lands and waters from an Indigenous perspective. Despite the advancements in HCP, studies have identified limitations related to identification and development of strategies to deal with environmental impacts. This review examines the conservation priorities of coastal Indigenous communities in Australia, focusing on coastal wetland ecosystems. By analysing multiple HCPs, this study aims to identify shared priorities among these communities to enhance conservation strategies addressing environmental challenges. Findings indicate that invasive species—including weeds, barnacles, cattle, horses, donkeys, feral pigs, and buffalos—are consistently identified as major threats to coastal wetlands across Australia. Recognizing these common concerns is essential for refining conservation approaches, strengthening Indigenous-led governance, and fostering more effective environmental management strategies.