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This Implementation Guide is designed to help transportation practitioners understand how and where nature-based and hybrid solutions can be used to improve the resilience of coastal roads and bridges. Upfront, it summarizes the potential flood-reduction benefits and co-benefits of these strategies. From there, the guide follows the steps in the project delivery process, providing guidance on how to consider nature-based solutions in the planning process, how to conduct a site assessment to determine whether nature-based solutions are appropriate, key engineering and ecological design considerations, permitting approaches, construction considerations, and monitoring and maintenance strategies. The guide also includes appendices with site characterization tools, decision support for selecting nature-based solutions, suggested performance metrics, and links to additional tools and resources.