Inland waterway management is complex and faces unique challenges as inland waterways have a variety of users. The mixture and overlap of local, regional, national and at times international regulations exacerbate the problem of managing inland waterways. In this context, the regional conference ‘River habitat restoration for inland fisheries in the Danube River basin and adjacent Black Sea areas’ was held on 13-15 November 2018 in Bucharest, Romania. This event was organised by the FAO Regional office for Europe and Central Asia in partnership with the International Organisation for the Development of Fisheries and Aquaculture in Europe (EUROFISH) and EIFAAC and hosted by the Ministry of Agriculture and Rural Development and the Ministry of Waters and Forests of Romania. This event offered a unique opportunity for stakeholders to share their experience of the issues affecting the sustainability of the Danube river and Black Sea regions. Over 100 attendees from local community level fisherman and farmers to academics, and national and EU level representatives interacted with to 27 invited speakers. Each speaker focused on one of four session subjects ‘Valuing Inland Fisheries Resources’, ‘Conservation and Management’, ‘Regulatory Framework’ and ‘Shared Country Experiences’. A round table discussion concluded the conference, with all participants invited to express their thoughts and discuss the issues affecting sustainability and inland fisheries in the Danube river basin and the Black Sea. The key findings from this concluding discussion have been complied into a list of conference recommendations included in this publication.