Totally 128 surficial sediments samples were collected from the coastal wetlands, northeastern Hainan Island and analyzed for their concentrations of 14 elements including Al2O3, Fe2O3, MnO, Cu, Ni, Sr, Zn, V, Pb, Cr, Zr, As, Cd and Hg, TOC and grain sizes. The mean concentrations of trace metals V, Cr, Ni, Cu, Zn, As, Pb, Cd and Hg were (40.13 +/- 32.65), (35.92 +/- 26.90), (13.03 +/- 11.46), (11.56 +/- 10.27)-, (48.75 +/- 27.00), (5.48 +/- 1.60), ( 18.70 +/- 8.66), (0.054 +/- 0.045 ), (0.050 +/- 0.050) microg x g(-1), respectively, which were much lower than those in Pearl River Estuary, Yangzi River Estuary, Bohai Bay, upper crust and average shale. The average concentrations of Sr and Zr were much higher, reaching up to (1253.60 +/- 1649.58) microg x g(-1) and (372.40 +/- 516.49) microg x g(-1), respectively. The spatial distribution patterns of Al2O3, Fe2O3, MnO, Cu, Ni, Zn, V, Pb, Cr, Cd and Hg concentrations were the same as each other except for those of As, Sr and Zr. Generally, relatively high concentrations of these elements only appeared in the Haikou Bay, Nandu estuary, Dongzhai Harbor, Qinglan Harbor and Xiaohai in study area. The factor analysis revealed that the trace elements Al2O3 Fe2O3, MnO, Cu, Ni, Zn, V, Pb, Cr and part of Hg were mainly originated from the rock material by natural weathering processes, while the Cd and a part of Hg were from the biological source controlled by TOC. As and part of MnO were influenced by anthropogenic source, especially by aquacultures. Zr and some MnO were derived from heavy minerals dominated by the coarse grain of sediments. In contrast to the ERL, ERM and the results of enrichment factors (EF) , the environment of study area was good in general and the degree of contamination by trace elements was low on the whole. However, there are still some places where anthropogenic input have caused serious enrichments of trace elements and the occasional adverse effect on benthic organism induced by Ni could probably occur in 22% areas of all the sampling stations.