This paper is based on a pre-feasibility study of the Vistula River Basin and Baltic Coast of Poland, financed by the World Bank and prepared by the SWECO-COWI consult - VKI Vistula Joint Venture in association with the Polish consulting companies Hydroproject and Stolica. The objective of the study has been to prepare a priority action programme to pre-feasibility level to control and reduce the present pollution of the Baltic Sea from the Vistula River Basin and Baltic Coast of Poland in line with the 1990 Baltic Sea Declaration. This includes a target objective of the adoption of measures by the countries in the region to reduce the 1987 emission levels by 50 percent by 1995.The municipal wastewater from about 1/3 of the population in Poland is not treated at all, and most of the existing treatment is of low efficiency. Also most of the industrial plants have high pollution discharge loads. Nitrogen runoff is the most obvious problem from the agriculture. The yearly discharge of nitrogen to the Baltic Sea is in the order of magnitude 100,000 tons. Phosphorus is also discharged in large quantities, as most of the sewage treatment plants are not constructed for chemical or biological phosphorus removal.Actions proposed for implementation to the year 2000 are described, primarily for protection of the Baltic Sea. These actions include mainly treatment plants for removal of phosphorus, nitrogen and biochemical oxygen demand (BOD), but also heavy metals and persistent organic substances. All major polluting industries should also take steps in order not to exceed accepted pollution levels. Finally, economic instruments and investment programmes are discussed.