This research work develops four case studies on small-scale fisheries in Central America located within indigenous territories. The Ngöbe Bugle Conte Burica Territory in the south of Costa Rica, the Garífuna territory in Nueva Armenia Honduras, the Rama territory in Nicaragua and the Ngöbe Bugle territory in Bocas del Toro, Panamá. This is one of the first studies focusing on indigenous territories, artisanal fisheries and SSF guidelines. The cases are a first approach to discussing and analyzing relevant social and human rights issues related to conservation of marine resources and fisheries management in these territories. The cases discussed between other issues of interest, the relationships between marine protected areas under different governance models and issues related to the strengthening of the small-scale fisheries of these indigenous populations and marine fishing territories. They highlight sustainability, governance, land tenure and access to fishing resources, gender, traditional knowledge importance and new challenges as climate change.