The management of riverine wetlands, recognized as a major component of biodiversity in fluvial hydrosystems, is problematic. Preservation or restoration of such ecosystems requires a method to assess the major ecological processes operating in the wetlands, the sustainability of the aquatic stage, and the restoration potential of each riverine wetland. We propose a method of diagnosis based on aquatic macrophytes and helophytes. Plant communities are used because they are easy to survey and provide information about (1) the origin of a water supply (i.e., groundwater, seepage, or surface river water) and its nutrient content, (2) effects of flood disturbances, and (3) terrestrialization processes. The novelty of the method is that, in contrast to available typologies, it is based on the interference of gradients resulting from several processes, which makes it possible to predict wetland sustainability and restoration potential. These predictions result from knowledge of the processes involved in terrestrialization, i.e., the influence of flood disturbances, occurrence of groundwater supplies, trophic degree, and water permanency of the habitat during a yearly cycle. The method is demonstrated on five different river systems.