The United Nations' Convention on Biological Diversity set forth the 30 × 30 target, an agenda for countries to protect at least 30% of their terrestrial, inland water, and coastal and marine areas by 2030. With <6 years to reach that goal, riverine conservation professionals are faced with the difficult decision of prioritizing which rivers or river segments should be conserved (protected and/or restored). While incorporating resilience into conservation planning is essential for enhancing, restoring, and maintaining the vital riverine ecosystem services (ES) most threatened by climate change and other environmental and human stresses, this paradigm is at odds with traditional conservation approaches that are either opportunistic or reactionary, where only unique and highly visible ecosystems have been prioritized. Barriers to implementing resilience-based riverine conservation planning include: (1) difficulties in conceptualizing and quantifying resilience; (2) insufficient consideration of the social components of riverine systems; (3) the inapplicability of terrestrial-only conservation models to aquatic systems; and (4) the traditional ad hoc and opportunistic approach to conservation. To overcome these barriers, we propose a resilience-based riverine conservation framework that includes: (1) assessing riverine resilience using indicator frameworks; (2) considering rivers as dynamically coupled social–ecological systems; (3) explicitly incorporating terrestrial–aquatic network connectivity into conservation decision-making; and (4) strategic systems planning using a novel resilience–conservation matrix as a tool. This framework has the potential to transform conservation practices around the globe to more effectively protect river systems and enhance their resilience to climate change and human development.