Fossil corals are widespread on the coast of northwestern Hainan Island, China. Most of these corals are exposed during low tide levels, indicating that a higher sea level may have existed during their life time. The radiocarbon data introduced by this paper in combination with those from other sources show that the corals were alive mainly during the midto late-Holocene. Mid-Holocene sea levels 1-3 m higher than the present level were confirmed for adjacent coasts; however, the emerged corals on the investigated coast are not necessarily indicators of a higher eustatic sea level. They do predict relative sea levels of 1.5-3.4 m when using 1 m below the tidal datum as the upper limit of coral growth. However, using the Mean Lower Low Water as the coral’s upper growth limit, the relative sea level on the non-volcanic coast was almost as high as the present level, whereas that on the volcanic coast was 0.4-2.0 m higher than present. Therefore, the exposure of these dead coral heads and their discrepancy in elevation may be the result of tectonic uplift caused by volcanic activities. From these results, the highest sea level of upward coral growth must be defined first when using fossil corals to reconstruct past sea levels. Meanwhile, vertical tectonics have to be taken into account as a significant factor when conducting high-resolution sea level reconstruction, although the South China coast is located in a “tectonically stable” region. Fossil corals are widespread on the coast of northwestern Hainan Island, China. Most of these corals are exposed during low tide levels, indicating that a higher sea level may have exists during their life time. The radiocarbon data introduced by this paper in combination that those from other sources show that the corals were alive mainly during the midto late-Holocene. Mid-Holocene sea levels 1-3 m higher than the present level were confirmed for an adjacent coasts; however, the emerged corals on the investigating coast are not necessarily indicators of a higher eustatic sea level. They do predict relative sea levels of 1.5-3.4 m when using 1 m below the tidal datum as the upper limit of coral growth. However, using the Mean Lower Low Water as the coral’s upper growth limit, the relative sea level on the non-volcanic coast was almost as high as the present level, yet that on the volcanic coast was 0.4-2.0 m higher than present. Thus, the exposure of these dead coral heads and t heir discrepancy in elevation may be the result of tectonic uplift caused by volcanic activities. From these results, the highest sea level of upward coral growth must be defined first when using fossil corals to reconstruct past sea levels. into account as a significant factor when conducting high-resolution sea level reconstruction, although the South China coast is located in a “tectonically stable” region.