ISPRA, on behalf of the Italian Ministry of Environment, carried out the initial assessment of environmental quality status of the 3 Italian subregions (Mediterranean Sea Region) on Descriptor 9. The approach adopted to define the GES started to verify that contaminants in fish and other seafood for human consumption did not exceed levels established by Community legislation (Reg. 1881/2006 and further updates). As the Marine Strategy Framework Directive (MSFD) requires to use health tools to assess the environment, Italy decided to adopt a statistical range of acceptance of thresholds identified by national (D. Lgs. 152/2006 concerning water quality required for mussel farms) and international legislation (Reg. 1881/2006 and further updates), which allowed to use the health results and to employ them for the assessment of environmental quality. Italy proposed that Good Environmental Status (GES) is achieved when concentrations are lower than statistical range of acceptance, estimated on samples of fish and fishery products coming from only national waters. GIS-based approach a to perform different integration levels for station, cell's grid and years, was used; the elaborations allowed to judge the environmental quality good.