This Final Programmatic Environmental Impact Statement (FPEIS) addresses restoration techniques for anthropogenic physical injury to coral reef resources within Gulf of Mexico and Caribbean waters of the National Marine Sanctuary System (NMSS). The purpose of this document is to present and analyze the current technologies available for effective implementation of restoration to address injury to coral reef resources in these areas of the NMSS; appropriate analysis of the technologies in this document will provide for efficient selection and implementation of action when needed.