Three coral reef Satoumi sites in Okinawa, Japan are introduced. There are three important points for Satoumi creation: (i) residential researchers and bilateral knowledge translators, (ii) transdisciplinary approach, and (iii) active and passive measures. In Onna, one of the three sites, developing fisheries resource management plan, coral culture and outplanting, prevention of red soil runoff, coral eating starfish control, and the Mozuku (seaweed: Cladosiphon okamuranus) Fund are major activities of Satoumi creation. In Okinawa city, length limits of the most important fish, a marine protected area, coral culture and outplanting, and surveys by fishers are major activities. In Shiraho, where WWF and the local community have been collaborating on the Satoumi creation, inheritance of coral reef culture, restoration of a stone tidal weir, measures to prevent red soil runoff, and restocking of giant clams are major activities. In the discussion, three important points for the Satoumi creation, integration of fisheries resource management and ecosystem conservation, and surveys and monitoring by fishers are discussed.