With a focus on Indo-Pacific coral reefs, we review what is known about the underlying processes of herbivory and coral-algal competition that ultimately affect the ability of corals to grow, persist, and replenish themselves. We then critically assess evidence of effectiveness or otherwise of herbivore management within marine protected areas (MPAs) to better understand why many MPAs have not improved outcomes for corals, and more importantly to identify the circumstances in which that form of management would be most likely to be effective.