The Orbetello lagoon (Tyrrhenian coast, Italy) receives treated urban and land based fishfarms wastewater. The development of severe eutrophication imposed the three main activity adoption focuses on (1) macroalgae harvesting; (2) pumping of water from the sea; (3) confining wastewater to phytotreatment ponds. The responses to these interventions were rapid and macroalgal reduction growth and seagrass return were recorded. Since 1999, a new macroalgal development was recorded. The aim of this research was to discover whether the recent macroalgal growth can be attributed to the continuing wastewater influx from the remaining persistent anthropic sources (PAS) or from the sediment nutrient release. A monitoring programme was carried out between August 1999 and July 2000 in order to measure dissolved inorganic nitrogen and phosphorus in the wastewaters entering into the lagoon and in central lagoon areas, seaweed and seagrass distribution and lagoon N, P annual budgets. The results showed higher N and P values close to PAS. The distribution of the macroalgal species confirms that the available P comes almost entirely from these remaining PAS. In conclusion, the environmental measures adopted produced a significant reduction in algal biomass development in the lagoon; the macroalgal harvesting activities produced a sediment disturbance with following oxidize conditions, which make P unavailable in the lagoon water, excepting close the PAS.