Sediment fluxes from mountain rivers contribute to shape the geomorphologic features of lowland rivers and to establish the physical basis for an optimal set of ecosystem functions and related services to people. Through significant public funding, the hydro-morphological regimes of mountain rivers in the European Alps have been progressively altered over the last century, with the aim to provide a safe dwelling space, to boost transport, mobility and to support economic growth. We claim that the underlying planning weaknesses contribute to determine these inefficient resource allocations, since flood risk is still high and the ecosystem services are far from being optimal. Hence, with the overall aim to enhance sediment flux control and hazard risk mitigation in such heavily modified alpine streams, we propose a structured design workflow which guides the planner through system analysis and synthesis. As a first step the proposed workflow sets the relevant planning goals and assesses the protection structure functionality. Then a methodology is proposed to achieve the goals. This methodology consists in characterising the hydrologic basin of interest and the sediment availability and determining the sediment connectivity to channels. The focus is set on the detailed analysis of existing river cross sections where the sediment continuity is interrupted (e.g. slit and check dams). By retaining relevant sediment volumes these structures prevent the reactivation of hydro-morphological and associated ecological functionalities. Since their actual performance can be unsatisfying with respect to flood risk mitigation (e.g. mainly old structures), we introduce specific efficiency indicators as a support for the conceptual design stage to quantify effects related to sediment flux control and risk management. The proposed planning approach is then applied to the Gadria system (stream, slit dam, retention basin and culvert), located in South Tyrol, Italy. This case study shows that design excellence is needed to re-establish the sediment continuity, while keeping flood risk below acceptable levels. Moreover, the detailed hydraulic analyses highlight that the slit dam is oversized and it could be redesigned to improve sediment continuity and to reduce maintenance costs.