In this chapter, we advance Antonovsky’s interests in the application of salutogenic perspectives to the development of societies and introduce the emerging model of societal coherence, pointing to new and rapidly evolving areas of salutogenic thought and their use in building coherent and salutogenic societies. Focusing on the structural nature of the River of Life, we explore how it presents us with challenges and opportunities to develop coherent perspectives both individually and collectively: How does society shape our outlook on the world? We discuss the importance of social position and societal opportunities to develop coherent perspectives and agency, and how the individual quest for coherence even might damage a salutogenic development in the long run. We attempt to unravel how settings can contribute to or damage these processes and reflect on the role and character of salutogenic dialogue in the development coherent and salutogenic societies.