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This report presents an action plan to restore the polluted waterways and waterfront in the Metropolitan Toronto area, from Etobicoke Creek in the west to the Rouge River in the east. After an introduction on the planning process, the plan reviews problems and suggests priorities for action in the following areas of concern: stormwater management, sewage treatment, control of non-residential sewer use, restoring fish and wildlife habitat, public awareness and education, legislation and environmental policy, land use planning, monitoring, and research. The plan then gives specific recommendations for remedial actions and implementation through community involvement. The final section of the report describes the history of the Metro Toronto watersheds and their environmental health.