Abstract: The clarification of the health status of ecosystems represents a fundamental basis for the promotion of regional conservation management. However, there is a notable absence of comprehensive quantitative research on the health status of coastal wetlands. Furthermore, the conventional evaluation methodology presents significant challenges in establishing an effective correlation between the assessment of ecosystem service functions and the evaluation of the natural health status of the region, while simultaneously providing an objective assessment of the health status of wetland ecosystems.In this study, the VORS model, which is based on the vigor (V)-organization (O)-resilience (R)-ecosystem service (S) assessment of ecosystem health, was improved through the comprehensive consideration of wetland characteristics. The model was then used to comprehensively assess the ecosystem health of six typical coastal wetlands in Hebei.The findings of the study indicate that the health index of the six representative coastal wetlands in Hebei ranges from 0.50 to 0.64, with the area occupied by healthy wetlands accounting for 93.47% of the total area of the six wetlands. The health status of these wetlands is predominantly influenced by the wetland type.Of the four major health assessment indicators, ecosystem service (S) contributes the most to ecosystem health, with hydrological regulation service being the most prominent. This service provides 49%. Vigor (V) is the dominant indicator, accounting for 53% of the total value, and is the primary factor influencing the natural health of the ecosystems in the coastal wetlands of Hebei. Despite the region's robust ecological resilience, there is a need to prioritize enhancing habitat quality and optimizing its structure. Additionally, it is essential to fully leverage the wetlands' hydrological regulation capacity to bolster regional water security.The enhanced VORS wetland ecosystem health assessment model, as presented in this research, offers a superior solution to the current challenges associated with coastal wetland health assessment. These include the significant limitations of the evaluation system, the lack of clear evaluation standards, and the potential for subjectivity to influence the evaluation results. The evaluation results are based on scientific and credible methodology and provide a new framework for thinking about ecosystem health assessment. The findings of this research can also inform the protective management of coastal wetlands in Hebei, with the aim of promoting a more harmonious relationship between the ecological condition and social and economic development of the coastal wetlands in Hebei, China. Furthermore, the findings of this study can inform the development of strategies for the conservation and sustainable management of coastal wetlands in Hebei, with the objective of achieving a more harmonious balance between the ecological integrity of these ecosystems and socio-economic development.