The ocean islands are far from inland and the concrete sandstone aggregates are scarce. In this paper, high-performance seawater all-coral concrete was developed by seawater mixing and room temperature maintenance design, and by optimizing the water-to-binder ratio, regulating internal curing, changing auxiliary cementing materials and blending ratio, incorporating expansion agent, adjusting fiber blending, etc. Combined with the consideration of work performance and mechanical properties, the concrete self-shrinkage is adjusted to further optimize the mix design. The mechanical properties of the optimized high-performance seawater all-coral concrete were studied, and the relevant durability tests were carried out according to the natural environment characteristics of the island. This is of great significance to the construction of island projects, repair and construction, and construction of protective projects [1].