The study of geological sea-level proxies formed during previous interglacials is a common approach to assess how global sea level will evolve under warmer climate conditions. Over the last decades, technical advancements in both survey and geochronology have allowed improving our knowledge of past sea-level highstands. This is of prime importance to refine our understanding of processes contributing to sea-level changes, and ultimately to improve both local and global sea-level projections. Last Interglacial sea-level proxies in the Western Indian Ocean (and more specifically the island nation of Madagascar), have been less investigated than in other intertropical oceans over the last decades. As a result, paleo sea-level data in this region are less abundant and less precise than elsewhere. Here, we report the results of two field campaigns aimed at studying the site of Lembetabe, southwest Madagascar, where a fossil reef was first described by the researcher René Battistini more than 50 years ago. We estimate paleo relative sea level history in space and time from 15 new U-series ages from a fossil reef platform mapped with differential GNSS and drone photogrammetry. Our data suggest that, between 129 ka and 115 ka, paleo relative sea level at this location was about 3.4 ± 1.4 m above modern. Once corrected for glacial isostatic adjustment, we find that paleo global mean sea level did not exceed 3 m above modern. Only slight crustal subsidence would reconcile the peak Last Interglacial sea level measured at Lembetabe with the 5–10 m range reported in the literature.