Several coastal plains of the Elba Island (Marina di Campo, Portoferraio, Schiopparello, Mola, Porto Azzurro and Barbarossa plains) in Tuscany (Italy) were studied to determine the causes of decline in groundwater quality, using major ion chemistry to establish the causes of groundwater salinization. The study demonstrates that salinization of coastal plain alluvial aquifers is not simply linked to seawater intrusion but is also intimately related to inflows from adjacent aquifers. Ionic ratios, correlation graphs and distribution value maps were employed as the means to understand the hydrochemistry of the study areas. The Mg/Cl ratio in particular can be considered a good tracer to distinguish the main salinization processes that control groundwater chemistry. Seawater intrusion only partly determines the chemistry of some groundwaters, which generally belong to a chloride facies where the salinity is derived principally from freshwater-seawater mixing and the participation of cation exchange. Proceeding inland groundwater quality seems to be principally determined by the inflow of Mg, Ca-HCO(3) or Ca, Na-HCO(3) waters formed from the weathering of silicate minerals in adjoining aquifers. Hydrolysis of these minerals is of prime importance in controlling groundwater chemistry in adjacent alluvial plains. The lateral recharge flows introduce water with a different chemical composition and this variable of freshwater recharge changes the hydrochemistry as a result of mixing between two or more waters types. This situation is further complicated when seawater and base exchange reactions participate, due to seawater intrusion.