Large marine ecosystem (LME) is a large area of ocean characterized by distinct oceanology and ecology. Its natural characteristics require management based on ecosystem approach. A series of international treaties and regulations definitely or indirectly support that it should adopt ecosystem approach to manage LME to achieve the sustainable utilization of marine resources. In practices, some countries such as Canada, Australia, and U.S.A. have adopted ecosystem-based approach to manage their oceans, and some international organizations such as global environment fund committee have carried out a number of LME programs based on ecosystem approach. Aiming at the sustainable development of their fisheries, the regional organizations such as Caribbean Community have established regional fisheries mechanism. However, the adoption of ecosystem approach to manage LME is not only a scientific and legal issue, but also a political matter largely depending on the political will and the mutual cooperation degree of related countries.