This paper presents the results of a study carried out to support the Region of Tuscany Coastal Sediment Management Plan, with the main aim of establishing the sediment budget considering the time span from 1981–1985 to 2005 for the 56 coastal sectors into which the 215 km-long continental sandy coast of Tuscany (Italy) was divided. The sand stability (according to a stability index) and colour compatibility (according to the CIEL*a*b* colour space with an acceptability range conforming to national guidelines) were determined in order to assess the possibility of using the available sediment in accreting sectors to nourish the beach in eroding areas. Only in two cases—i.e., the updrift of a harbour (at Viareggio) and in a convergence zone (at Marina di Pietrasanta)—are the volumes of sufficient magnitude to support a large nourishment project; however, the mean sand size is too small to guarantee efficient nourishment, even with medium-term stability. In contrast, the colour difference, in most of the cases, was shown to be acceptable. Other small sediment stocks, suitable for colour but not for grain size, can be used for periodic ephemeral nourishment works to support seasonal tourist activities. The limited resources available make it necessary to adopt a plan for their optimal use from a regional perspective. This kind of study is of great interest for the proposal of sound management actions to counteract the increasing erosion processes linked to climate change phenomena and human effects on rivers and coastal systems.