The Louisiana continental shelf in the northern Gulf of Mexico experiences bottom water hypoxia in the summer. In this study, we applied a biogeochemical model that simulates dissolved oxygen concentrations on the shelf in response to varying riverine nutrient and organic carbon loads, boundary fluxes, and sediment fluxes. Five-year model simulations demonstrated that midsummer hypoxic areas were most sensitive to riverine nutrient loads and sediment oxygen demand from settled organic carbon. Hypoxic area predictions were also sensitive to nutrient and organic carbon fluxes from lateral boundaries. The predicted hypoxic area decreased with decreases in nutrient loads, but the extent of change was influenced by the method used to estimate model boundary concentrations. We demonstrated that modeling efforts to predict changes in hypoxic area on the continental shelf in relationship to changes in nutrients should include representative boundary nutrient and organic carbon concentrations and functions for estimating sediment oxygen demand that are linked to settled organic carbon derived from water-column primary production. On the basis of our model analyses using the most representative boundary concentrations, nutrient loads would need to be reduced by 69% to achieve the Gulf of Mexico Nutrient Task Force Action Plan target hypoxic area of 5000 km(2).